Basic Information
| Provider Information | |||||||||
| NPI: | 1992728703 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHEN | ||||||||
| FirstName: | HARRY | ||||||||
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| Credential: | PHARM.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 5494 | ||||||||
| Address2: | |||||||||
| City: | HACIENDA HEIGHTS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 917450494 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6262284774 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 11201 BENTON STREET | ||||||||
| Address2: | VA LOMA LINDA HEALTHCARE SYSTEM (119) | ||||||||
| City: | LOMA LINDA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9098257084 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2006 | ||||||||
| LastUpdateDate: | 07/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1835P1200X | RPH 43521 | CA | N | Pharmacy Service Providers | Pharmacist | Pharmacotherapy | 1835P2201X | 43521 | CA | Y |
No ID Information.