Mid West Medical Pharmacy
LBN: Turaj Tom Shafa
Mid West Medical Pharmacy is an health care organization with primary practice located at 8733 Beverly Blvd Ste 100, West Hollywood CA 90048-1890. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Turaj Tom Shafa can be contacted via phone (310) 657-1635, or through Shafa, Tom via phone (310) 657-1635.
Contact Information
Primary practice address
8733 Beverly Blvd Ste 100
West Hollywood CA 90048-1890
Phone: (310) 657-1635
Fax: (310) 657-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY22051 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1114901014 |
|---|---|
| LBN Legal business name | Turaj Tom Shafa |
| DBA Doing business as | Mid West Medical Pharmacy |
| Authorized official | Shafa, Tom RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2005 |
| Last updated | Dec 22nd, 2021 - about 4 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 | 1114901014 | NPPES |
| Other | 2002290 | PK | |
| MEDICAID | PHA220510 | PK |
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