Plaza West Pharmacy

LBN: Plaza West Pharmacy
Plaza West Pharmacy is an health care organization with primary practice located at 8540 S Sepulveda Blvd Ste 102 , Los Angeles CA 90045-3810. The organization recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as the primary health care specialty. Plaza West Pharmacy can be contacted via phone (310) 645-6422, or through Rotmansky, Alexandr via phone (310) 645-6422.

Contact Information

Primary practice address
8540 S Sepulveda Blvd Ste 102 Los Angeles CA 90045-3810
Phone: (310) 645-6422
Fax: (310) 645-9570
Website:
Map and Directions
Authorized official contact:
Name: Rotmansky, Alexandr
Phone: (310) 645-6422

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PHY41043 California

Profile Details

NPI number 1477691129
LBN Legal business name Plaza West Pharmacy
DBA Doing business as
Authorized official Rotmansky, Alexandr
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Jan 10th, 2008 - about 16 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 1477691129 NPPES
California MEDICAID PHA410430

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