MEDICARE: PRESCRIPTIONS PLUS

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	PHY39898	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHA398980	OTHER		MEDICAL

General Provider Information

NPI Number	:	1720088800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESCRIPTIONS PLUS

Provider Business Mailing Address
First Line	:	6312 VAN NUYS BLVD
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-2610
Country	:	US
Telephone Number	:	818-785-0441
Fax Number	:	818-785-1315

Provider Business Practice Location Address
First Line	:	6312 VAN NUYS BLVD
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91401-2610
Country	:	US
Telephone Number	:	818-785-0441
Fax Number	:	818-785-1315

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DAVID LEON PRELLER
Credential	:	RPH
Telephone Number	:	818-785-0441

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	08/22/2020

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Directions to “PRESCRIPTIONS PLUS ” Practice Location

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