Grand Avenue Pharmacies
LBN: Fox Hills Pharmacy Inc
Grand Avenue Pharmacies is an health care organization with primary practice located at 4455 W 117Th St Ste 101, Hawthorne CA 90250-2241. The organization recently has 6 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Fox Hills Pharmacy Inc can be contacted via phone (310) 649-3774, or through Sobol, Margo via phone (310) 649-3775.
Contact Information
Primary practice address
4455 W 117Th St Ste 101
Hawthorne CA 90250-2241
Phone: (310) 649-3774
Fax: (310) 649-3720
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY46748 | California |
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1235130832 |
|---|---|
| LBN Legal business name | Fox Hills Pharmacy Inc |
| DBA Doing business as | Grand Avenue Pharmacies |
| Authorized official | Sobol, Margo PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 3rd, 2005 |
| Last updated | Mar 1st, 2017 - about 7 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 | 1235130832 | NPPES |
| Other | 2001007 | PK | |
| MEDICAID | PHA467480 | PK |
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