MEDICARE: FARMACIO MILLION DOLLAR IN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1194703553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMACIO MILLION DOLLAR IN

Provider Business Mailing Address
First Line	:	301 S BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-1207
Country	:	US
Telephone Number	:	213-687-3688
Fax Number	:	213-687-8041

Provider Business Practice Location Address
First Line	:	301 S BROADWAY
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90013-1207
Country	:	US
Telephone Number	:	213-687-3688
Fax Number	:	213-687-8041

Authorized Official
Title or Position	:	PRES
Name	:	RICHARD B BUTZ
Credential	:
Telephone Number	:	213-687-3688

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	08/22/2020

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