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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477615003 | NPPES |
| Other | 0597902 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | 1477615003 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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