Olympia Plaza Pharmacy

LBN: Olympia Plaza Pharmacy Inc
Olympia Plaza Pharmacy is an health care organization with primary practice located at 5901 W Olympic Blvd Suite 103, Los Angeles CA 90036-4667. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Olympia Plaza Pharmacy Inc can be contacted via phone (323) 937-2590, or through Borokhovich, Tatyana via phone (323) 937-2590.

Contact Information

Primary practice address
5901 W Olympic Blvd Suite 103 Los Angeles CA 90036-4667
Phone: (323) 937-2590
Fax: (323) 937-0259
Website:
Map and Directions
Authorized official contact:
Name: Borokhovich, Tatyana RPH
Phone: (323) 937-2590

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48416 California
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Specialty Pharmacy 3336S0011X PHY 48416 California

Profile Details

NPI number 1477615003
LBN Legal business name Olympia Plaza Pharmacy Inc
DBA Doing business as Olympia Plaza Pharmacy
Authorized official Borokhovich, Tatyana RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2006
Last updated Sep 4th, 2012 - about 13 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 1477615003 NPPES
Other 0597902 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 1477615003 NCPDP PROVIDER IDENTIFICATION NUMBER

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