Abc Compounding Pharmacy

LBN: Abc Pharmacy Inc
Abc Compounding Pharmacy is an health care organization with primary practice located at 16311 Ventura Blvd Ste 110, Encino CA 91436-2124. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Abc Pharmacy Inc can be contacted via phone (818) 783-0422, or through Khamiov, Arkaidy via phone (323) 363-7250.

Contact Information

Primary practice address
16311 Ventura Blvd Ste 110 Encino CA 91436-2124
Fax: (818) 783-0423
Website:
Authorized official contact:
Name: Khamiov, Arkaidy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY49183 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1629224381
LBN Legal business name Abc Pharmacy Inc
DBA Doing business as Abc Compounding Pharmacy
Authorized official Khamiov, Arkaidy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2008
Last updated Jul 19th, 2018 - about 6 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 1629224381 NPPES
California MEDICAID 1629224381
California Other 2117000

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