Spaulding Pharmacy

LBN: Spaulding Pharmacy Inc
Spaulding Pharmacy is an health care organization with primary practice located at 7722 Santa Monica Blvd , West Hollywood CA 90046-6220. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Spaulding Pharmacy Inc can be contacted via phone (323) 656-3663, or through Konopov, Alexander via phone (323) 656-3663.

Contact Information

Primary practice address
7722 Santa Monica Blvd West Hollywood CA 90046-6220
Phone: (323) 656-3663
Fax: (323) 656-3668
Website:
Map and Directions
Authorized official contact:
Name: Konopov, Alexander
Phone: (323) 656-3663

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY45154 California

Profile Details

NPI number 1962403568
LBN Legal business name Spaulding Pharmacy Inc
DBA Doing business as Spaulding Pharmacy
Authorized official Konopov, Alexander
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2005
Last updated Feb 9th, 2010 - about 15 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 1962403568 NPPES
California MEDICAID PHA451540

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