Hawthorne Rx Pharmacy

LBN: Gdc Enterprises Inc
Hawthorne Rx Pharmacy is an health care organization with primary practice located at 4477 W 118Th St Ste 100, Hawthorne CA 90250-2255. 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. Gdc Enterprises Inc can be contacted via phone (310) 675-6882, or through Cooper, Gary Daniel via phone (310) 675-6882.

Contact Information

Primary practice address
4477 W 118Th St Ste 100 Hawthorne CA 90250-2255
Phone: (310) 675-6882
Fax: (310) 675-6893
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Gary Daniel PHARM D
Phone: (310) 675-6882

Health care specialties

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

Profile Details

NPI number 1255415378
LBN Legal business name Gdc Enterprises Inc
DBA Doing business as Hawthorne Rx Pharmacy
Authorized official Cooper, Gary Daniel PHARM D
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2006
Last updated Jun 22nd, 2022 - about 2 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 1255415378 NPPES
California MEDICAID 1255415378
California Other PHY58102

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