Healthcare Provider Details

I. General information

NPI: 1366524019
Provider Name (Legal Business Name): THE MEDICINE CABINET INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5906 ATLANTIC BLVD.
MAYWOOD CA
90270
US

IV. Provider business mailing address

9901 PARAMOUNT BLVD #110
DOWNEY CA
90240
US

V. Phone/Fax

Practice location:
  • Phone: 323-771-4965
  • Fax: 323-771-3974
Mailing address:
  • Phone: 562-806-8394
  • Fax: 562-776-2257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY47508
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: ASH SOLIMAN
Title or Position: PRESIDENT
Credential:
Phone: 562-806-8394