Watts Professional Pharmacy
LBN: Prevost Healthcare Enterprises Inc
Watts Professional Pharmacy is an health care organization with primary practice located at 9909 Compton Ave , Los Angeles CA 90002-2850. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Prevost Healthcare Enterprises Inc can be contacted via phone (323) 564-3218, or through Prevost, Walter Jerome via phone (323) 564-3218.
Contact Information
Primary practice address
9909 Compton Ave
Los Angeles CA 90002-2850
Phone: (323) 564-3218
Fax: (323) 564-4064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHA371080 | California |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY37108 | California |
Profile Details
| NPI number | 1619965357 |
|---|---|
| LBN Legal business name | Prevost Healthcare Enterprises Inc |
| DBA Doing business as | Watts Professional Pharmacy |
| Authorized official | Prevost, Walter Jerome PHARM. D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Mar 10th, 2011 - 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 | 1619965357 | NPPES |
| California | MEDICAID | PHA371080 |
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