Peticub
LBN: Peticub
Peticub is an health care organization with primary practice located at 1804 S La Cienega Blvd # 102 , Los Angeles CA 90035-4670. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Peticub can be contacted via phone (310) 839-7387, or through Shaoulian, Rabin via phone (310) 839-7387.
Contact Information
Primary practice address
1804 S La Cienega Blvd # 102
Los Angeles CA 90035-4670
Phone: (310) 839-7387
Fax: (310) 288-9141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Home Infusion Therapy Pharmacy | 3336H0001X | ||
| Suppliers / Mail Order Pharmacy | 3336M0002X |
Profile Details
| NPI number | 1790049484 |
|---|---|
| LBN Legal business name | Peticub |
| DBA Doing business as | Peticub |
| Authorized official | Shaoulian, Rabin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 27th, 2012 |
| Last updated | Aug 21st, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790049484 | NPPES |
| Other | 5644821 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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