Organization · Type 2 NPI

Clover Care Pharmacy Inc

Long Term Care Pharmacy · Los Angeles, CA

NPI number 1164042453 Active

Practice location

266 S Harvard Blvd Ste 140
Los Angeles, CA 90004-4389

Fax (213) 384-7521

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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NPI record

NPI: 1164042453
Entity type: Organization (Type 2)
Issued: Apr 16, 2020
Last updated: Apr 21, 2020
Status: Active

Other names

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Clover Care Pharmacy Inc · doing business as
Clover Care Pharmacy Inc · doing business as

Authorized official

Mrs. Sang J. Lee
President/pic
(213) 384-8763

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About NPI 1164042453

Clover Care Pharmacy Inc's National Provider Identifier is 1164042453, issued on Apr 16, 2020. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 21, 2020.