Medicine Shoppe #1135
LBN: Brea Hills Pharmacy
Medicine Shoppe #1135 is an health care organization with primary practice located at 1101 N La Brea Ave , Inglewood CA 90302-1212. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Brea Hills Pharmacy can be contacted via phone (310) 412-6088, or through Okoro, U Chika via phone (310) 412-6088.
Contact Information
Primary practice address
1101 N La Brea Ave
Inglewood CA 90302-1212
Phone: (310) 412-6088
Fax: (310) 412-3050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHY37138 | California |
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1184796963 |
|---|---|
| LBN Legal business name | Brea Hills Pharmacy |
| DBA Doing business as | Medicine Shoppe #1135 |
| Authorized official | Okoro, U Chika PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1184796963 | NPPES |
| Other | 0522638 | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| MEDICAID | PHA371380 | OTHER ID NUMBER-COMMERCIAL NUMBER |
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