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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053454561 | NPPES |
| Other | 0583131 | NCPDP | |
| Other | PHY 51669 | NCPDP |
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