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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

NPI Number 1740343433
LBN Legal business name 1663 PHARMACY INC
Authorized official TEODORO SANTOS - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 31852
CA Medicaid PHY229000
CA Other 1497865570 INDIVIDUAL NPI NUMBER
CA Other 0573445 NABP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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