Santa Monica Medical Plaza Pharmacy

LBN: Mvp Compounds Inc
Santa Monica Medical Plaza Pharmacy is an health care organization with primary practice located at 1260 15Th St Ste 100, Santa Monica CA 90404-1135. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Mvp Compounds Inc can be contacted via phone (310) 393-6767, or through Kohanghadosh, Mouiz via phone (310) 393-6767.

Contact Information

Primary practice address
1260 15Th St Ste 100 Santa Monica CA 90404-1135
Phone: (310) 393-6767
Fax: (310) 393-6729
Website:
Map and Directions
Authorized official contact:
Name: Kohanghadosh, Mouiz PHARMD
Phone: (310) 393-6767

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY 51669 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 51669 California
Suppliers / Compounding Pharmacy 3336C0004X PHY 51669 California

Profile Details

NPI number 1053454561
LBN Legal business name Mvp Compounds Inc
DBA Doing business as Santa Monica Medical Plaza Pharmacy
Authorized official Kohanghadosh, Mouiz PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Nov 26th, 2013 - about 12 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 1053454561 NPPES
Other 0583131 NCPDP
Other PHY 51669 NCPDP

Popular Providers