Ocean Park Pharmacy

LBN: Ocean Park Pharmacy
Ocean Park Pharmacy is an health care organization with primary practice located at 2731 Ocean Park Blvd , Santa Monica CA 90405-5205. 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. Ocean Park Pharmacy can be contacted via phone (310) 452-5705, or through Rosen, Robert via phone (310) 452-5705.

Contact Information

Primary practice address
2731 Ocean Park Blvd Santa Monica CA 90405-5205
Fax: (310) 452-2508
Website:
Authorized official contact:
Name: Rosen, Robert

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY30898 California

Profile Details

NPI number 1366453854
LBN Legal business name Ocean Park Pharmacy
DBA Doing business as Ocean Park Pharmacy
Authorized official Rosen, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Jan 18th, 2017 - about 7 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 1366453854 NPPES
California MEDICAID PHA308980
California Other 2005002

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