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NPI Code Detail

MEDICARE: PHARMACY CENTRAL

MEDICARE: PHARMACY CENTRAL
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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY47521CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15614208OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1427130202
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHARMACY CENTRAL
Provider Business Mailing Address
First Line : 3009 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-731-1515
Fax Number : 323-731-1919
Provider Business Practice Location Address
First Line : 3009 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3033
Country : US
Telephone Number : 323-731-1515
Fax Number : 323-731-1919
Authorized Official
Title or Position : SECRETARY
Name : ZHOZEF GADIMYAN
Credential :
Telephone Number : 323-731-1515
Provider Enumeration Date : 10/20/2006
Last Update Date : 02/22/2012

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1609915792 — MANDANA NAGHI
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1740310937 — JOYCE YIP GREEN LMFT, ATR
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1609906254 — PRISCILLA EMELY SANCHEZ
Practice Location Address:
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Practice Fax: 323-373-2442

Directions to “PHARMACY CENTRAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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