Simisola Pharmacy

LBN: Simisola Pharmacy Inc
Simisola Pharmacy is an health care organization with primary practice located at 11011 Crenshaw Blvd Ste 102, Inglewood CA 90303-6330. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Simisola Pharmacy Inc can be contacted via phone (310) 677-6522, or through Alabi, Markson B via phone (310) 677-6522.

Contact Information

Primary practice address
11011 Crenshaw Blvd Ste 102 Inglewood CA 90303-6330
Phone: (310) 677-6522
Fax: (310) 677-6562
Website:
Map and Directions
Authorized official contact:
Name: Alabi, Markson B Certified Orthotist (CO)
Phone: (310) 677-6522

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X PHA443050 California
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY44305 California
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PHA443050 California

Profile Details

NPI number 1730274903
LBN Legal business name Simisola Pharmacy Inc
DBA Doing business as Simisola Pharmacy
Authorized official Alabi, Markson B Certified Orthotist (CO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 19th, 2010 - about 14 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 1730274903 NPPES
Other 0513259 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA443050 NCPDP PROVIDER IDENTIFICATION NUMBER

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