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:
Map and Directions
Authorized official contact:
Name: Sobol, Margo PHARM D
Phone: (310) 649-3775

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235130832 NPPES
Other 2001007 PK
MEDICAID PHA467480 PK

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