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Contact Information

FSQ PHARMACY HOLDINGS LLC
7301 MEDICAL CENTER DR
WEST HILLS, CA91307-1904
 Phone: 818-887-4670
 Fax: 818-887-0473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for FSQ PHARMACY HOLDINGS LLC

NPI # 1831110881
LBN Legal business name FSQ PHARMACY HOLDINGS LLC
Authorized official STEVEN BERRY - (VP PHCY OPS)
Entity Organization
Organization subpart 1 No
Enumeration date 07/22/2006
Last updated 01/16/2008 - About 18 years ago
Identifiers
CA License # PHY47416
CA Medicaid PHA474160
Other 0551653 OTHER ID NUMBER-COMMERCIAL NUMBER
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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