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Contact Information

1663 PHARMACY INC
1663 BEVERLY BLVD
LOS ANGELES, CA90026-5710
 Phone: 213-250-7229
 Fax: 213-250-0439
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for 1663 PHARMACY INC · (Female)

NPI Number 1740343433
Status Active
Credentials
Entity Individual
Enumeration date 12/18/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 31852
  • CA Medicaid PHY229000
  • CA Other 1497865570 INDIVIDUAL NPI NUMBER
  • CA Other 0573445 NABP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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