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NPI Code Detail

MEDICARE: THE MEDICINE CABINET INC

MEDICARE: THE MEDICINE CABINET INC
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
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacyPHY 46884CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAIDOTHERCA1912098732
25614210OTHERCANCPDP
346884OTHERCAPHY

General Provider Information

NPI Number : 1912098732
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MEDICINE CABINET INC
Provider Business Mailing Address
First Line : 9901 PARAMOUNT BLVD STE 110
Second Line :
City : DOWNEY
State : CA
Zip : 90240-3852
Country : US
Telephone Number : 628-068-3945
Fax Number : 562-776-2257
Provider Business Practice Location Address
First Line : 228 E ANAHEIM ST
Second Line :
City : WILMINGTON
State : CA
Zip : 90744-4516
Country : US
Telephone Number : 310-513-9214
Fax Number : 310-513-9246
Authorized Official
Title or Position : PRESIDENT
Name : ASH SOLIMAN
Credential :
Telephone Number : 562-806-8394
Provider Enumeration Date : 09/27/2006
Last Update Date : 02/22/2022

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Directions to “THE MEDICINE CABINET INC ” Practice Location

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