Healthcare Provider Details

I. General information

NPI: 1073625067
Provider Name (Legal Business Name): ANEROL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 WHITTIER BLVD
LOS ANGELES CA
90023-1708
US

IV. Provider business mailing address

PO BOX 39879
DOWNEY CA
90239-0879
US

V. Phone/Fax

Practice location:
  • Phone: 323-268-3384
  • Fax: 323-268-1940
Mailing address:
  • Phone: 323-268-3384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY35861
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN BALL
Title or Position: PIC
Credential: PHARM D
Phone: 323-268-3384