Coover Pharmacy
LBN: F D M Exclusive Image Inc
Coover Pharmacy is an health care organization with primary practice located at 891 W 9Th St , San Pedro CA 90731-3603. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
F D M Exclusive Image Inc can be contacted via phone (310) 833-2575, or through Massoudi, Fariborz via phone (310) 833-2575.
Contact Information
Primary practice address
891 W 9Th St
San Pedro CA 90731-3603
Phone: (310) 833-2575
Fax: (310) 832-2531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY45471 | California |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1992710545 |
|---|---|
| LBN Legal business name | F D M Exclusive Image Inc |
| DBA Doing business as | Coover Pharmacy |
| Authorized official | Massoudi, Fariborz |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992710545 | NPPES |
| Other | 2107535 | PK | |
| MEDICAID | PHY45471 | PK |
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