NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MEDICINE LAND PHARMACY
LBN CHURCH CAPITAL LLC
7400 VAN NUYS BLVD
UNIT 101
VAN NUYS, CA91405-1966
 Phone: 818-997-7000
 Fax: 818-997-7003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MEDICINE LAND PHARMACY

NPI Number 1295812345
LBN Legal business name CHURCH CAPITAL LLC
DBA Doing business as MEDICINE LAND PHARMACY
Authorized official ARMEN MANOUKIAN - (MEMBER/PIC)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 03/26/2013 - About 4 years ago
Identifiers
CA License # PHY 51231
CA License # PHY51231
CA Other PHY51231 CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA Other 1295812345 MEDI-CAL PROVIDER NUMNER
CA Other 05-67199 NCPDP
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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