Healthcare Provider Details

I. General information

NPI: 1316754096
Provider Name (Legal Business Name): THE MEDICINE CABINET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 01/16/2025
Certification Date: 01/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5906 ATLANTIC BLVD
MAYWOOD CA
90270-3101
US

IV. Provider business mailing address

9901 PARAMOUNT BLVD STE 110
DOWNEY CA
90240-3852
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 TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

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