Mickey Fine Pharmacy

LBN: G And J Gross, Inc.
Mickey Fine Pharmacy is an health care organization with primary practice located at 433 N Roxbury Dr , Beverly Hills CA 90210-5001. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. G And J Gross, Inc. can be contacted via phone (310) 271-6123, or through Gross, Jeffrey via phone (310) 271-6123.

Contact Information

Primary practice address
433 N Roxbury Dr Beverly Hills CA 90210-5001
Fax: (310) 273-5339
Website:
Authorized official contact:
Name: Gross, Jeffrey

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY51055 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1083744916
LBN Legal business name G And J Gross, Inc.
DBA Doing business as Mickey Fine Pharmacy
Authorized official Gross, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 7th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083744916 NPPES
California MEDICAID 1083744916
California Other 2136312

Popular Providers