Provider Demographics
NPI:1548502263
Name:MALUK ENTERPRISING CORPORATION
Entity type:Organization
Organization Name:MALUK ENTERPRISING CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDNET/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:HUNGTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUK
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:626-571-1188
Mailing Address - Street 1:140 W VALLEY BLVD
Mailing Address - Street 2:#105
Mailing Address - City:SAN GABRIEL
Mailing Address - State:CA
Mailing Address - Zip Code:91776-3760
Mailing Address - Country:US
Mailing Address - Phone:626-571-1188
Mailing Address - Fax:626-571-2088
Practice Address - Street 1:140 W VALLEY BLVD
Practice Address - Street 2:#105
Practice Address - City:SAN GABRIEL
Practice Address - State:CA
Practice Address - Zip Code:91776-3760
Practice Address - Country:US
Practice Address - Phone:626-571-1188
Practice Address - Fax:626-571-2088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy