Gardena Center Pharmacy

LBN: Gardena Center Pharmacy Llc
Gardena Center Pharmacy is an health care organization with primary practice located at 15407 S Western Ave , Gardena CA 90249-4318. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Gardena Center Pharmacy Llc can be contacted via phone (310) 767-1522, or through Park, Bo via phone (310) 767-1522.

Contact Information

Primary practice address
15407 S Western Ave Gardena CA 90249-4318
Phone: (310) 767-1522
Fax: (310) 767-1174
Website:
Map and Directions
Authorized official contact:
Name: Park, Bo
Phone: (310) 767-1522

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY41295 California

Profile Details

NPI number 1144378787
LBN Legal business name Gardena Center Pharmacy Llc
DBA Doing business as Gardena Center Pharmacy
Authorized official Park, Bo
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Nov 9th, 2015 - about 9 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 1144378787 NPPES
California MEDICAID PHA412950
California Other 1996114

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