Cienega Pharmacy

LBN: Cienega Pharmacy Inc
Cienega Pharmacy is an health care organization with primary practice located at 7360 Santa Monica Blvd Suite 101, West Hollywood CA 90046-6619. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Cienega Pharmacy Inc can be contacted via phone (310) 360-9969, or through Khazaee, Afreh via phone (310) 360-9969.

Contact Information

Primary practice address
7360 Santa Monica Blvd Suite 101 West Hollywood CA 90046-6619
Phone: (310) 360-9969
Fax: (310) 360-9959
Website:
Map and Directions
Authorized official contact:
Name: Khazaee, Afreh
Phone: (310) 360-9969

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY46672 California
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1134280456
LBN Legal business name Cienega Pharmacy Inc
DBA Doing business as Cienega Pharmacy
Authorized official Khazaee, Afreh
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Apr 1st, 2013 - about 13 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 1134280456 NPPES
Other 2112850 PK
MEDICAID PHA466720 PK

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