Healthcare Provider Details

I. General information

NPI: 1184635773
Provider Name (Legal Business Name): MORCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 LOMITA BLVD STE 149
TORRANCE CA
90505-4801
US

IV. Provider business mailing address

PO BOX 13237
TORRANCE CA
90503-0237
US

V. Phone/Fax

Practice location:
  • Phone: 310-326-7706
  • Fax: 310-326-8568
Mailing address:
  • Phone: 310-326-7706
  • Fax: 310-326-8568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY42192
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MARJAN AMINI
Title or Position: RPH
Credential: RPH
Phone: 310-326-7706