Fairfax Pharmacy
LBN: Bdo Corporation
Fairfax Pharmacy is an health care organization with primary practice located at 1111 N Fairfax Ave Ste 110 , West Hollywood CA 90046-5363. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Bdo Corporation can be contacted via phone (323) 656-9622, or through Vayberman, Gregory via phone (323) 565-8622.
Contact Information
Primary practice address
1111 N Fairfax Ave Ste 110
West Hollywood CA 90046-5363
Phone: (323) 656-9622
Fax: (323) 656-9718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY41877 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1144220492 |
|---|---|
| LBN Legal business name | Bdo Corporation |
| DBA Doing business as | Fairfax Pharmacy |
| Authorized official | Vayberman, Gregory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Feb 27th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144220492 | NPPES |
| California | MEDICAID | PHA418770 | |
| California | Other | 1994763 |
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