MEDICARE: NATIONAL PHARMACY 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	50363	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2126482	OTHER		PK

General Provider Information

NPI Number	:	1932302627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATIONAL PHARMACY INC

Provider Business Mailing Address
First Line	:	7420 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5605
Country	:	US
Telephone Number	:	323-851-4444
Fax Number	:	800-995-4990

Provider Business Practice Location Address
First Line	:	7420 SANTA MONICA BLVD
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90046-5605
Country	:	US
Telephone Number	:	323-851-4444
Fax Number	:	800-995-4990

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL IMANOEL
Credential	:
Telephone Number	:	323-851-4444

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	02/28/2017

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Directions to “NATIONAL PHARMACY INC ” Practice Location

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