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ST KEROLLOS PHARMACY INC

Long Term Care Pharmacy

A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

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Contact Information

ST KEROLLOS PHARMACY INC
4566 FLORENCE AVE
STE 4
BELL, CA  90201-4345
 Phone: 323-562-1578
 Fax: 323-562-1651
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

 3336L0003X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

 3336M0003X 58 Medical Supply Company with Pharmacist
 

Nursing Facility Supplies

 332BN1400X 87 All Other Suppliers
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

 3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST KEROLLOS PHARMACY INC

NPI Number 1922283621
LBN Legal business name ST KEROLLOS PHARMACY INC
Authorized official BASSEM HENEIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/02/2008
Last updated 04/05/2017 - About 9 years ago
Identifiers
CA License # PHY54606
Other 2166189 PK
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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