Westside Boutique Pharmacy Inc
LBN: Westside Boutique Pharmacy Inc
Westside Boutique Pharmacy Inc is an health care organization with primary practice located at 7643 N San Fernando Rd , Burbank CA 91505-1073. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Westside Boutique Pharmacy Inc can be contacted via phone (818) 504-6444, or through Olmessekian, Sevak via phone (323) 533-5516.
Contact Information
Primary practice address
7643 N San Fernando Rd
Burbank CA 91505-1073
Phone: (818) 504-6444
Fax: (818) 504-6441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY45059 | California |
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1336150960 |
|---|---|
| LBN Legal business name | Westside Boutique Pharmacy Inc |
| DBA Doing business as | Westside Boutique Pharmacy Inc |
| Authorized official | Olmessekian, Sevak |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 19th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336150960 | NPPES |
| Other | 0559522 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA450590 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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