Healthcare Provider Details

I. General information

NPI: 1508256256
Provider Name (Legal Business Name): ST. LUKE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2015
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11737 FIRESTONE BLVD
NORWALK CA
90650-2808
US

IV. Provider business mailing address

11737 FIRESTONE BLVD
NORWALK CA
90650-2808
US

V. Phone/Fax

Practice location:
  • Phone: 562-202-9838
  • Fax: 562-202-9839
Mailing address:
  • Phone: 562-202-9838
  • Fax: 562-202-9839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY 52035
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. EMILE F ABDO
Title or Position: CEO
Credential:
Phone: 562-220-2630