1663 Pharmacy Inc

LBN: 1663 Pharmacy Inc
1663 Pharmacy Inc is an health care organization with primary practice located at 1663 Beverly Blvd , Los Angeles CA 90026-5710. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. 1663 Pharmacy Inc can be contacted via phone (213) 250-7229, or through Santos, Teodoro Reyes via phone (213) 250-7229.

Contact Information

Primary practice address
1663 Beverly Blvd Los Angeles CA 90026-5710
Phone: (213) 250-7229
Fax: (213) 250-0439
Website:
Map and Directions
Authorized official contact:
Name: Santos, Teodoro Reyes
Phone: (213) 250-7229

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 31852 California

Profile Details

NPI number 1740343433
LBN Legal business name 1663 Pharmacy Inc
DBA Doing business as
Authorized official Santos, Teodoro Reyes
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740343433 NPPES
California Other 1497865570 INDIVIDUAL NPI NUMBER
California MEDICAID PHY229000 INDIVIDUAL NPI NUMBER
California Other 0573445 INDIVIDUAL NPI NUMBER

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