Healthcare Provider Details

I. General information

NPI: 1912098732
Provider Name (Legal Business Name): THE MEDICINE CABINET INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 E ANAHEIM ST
WILMINGTON CA
90744-4516
US

IV. Provider business mailing address

9901 PARAMOUNT BLVD STE 110
DOWNEY CA
90240-3852
US

V. Phone/Fax

Practice location:
  • Phone: 310-513-9214
  • Fax: 310-513-9246
Mailing address:
  • Phone: 628-068-3945
  • Fax: 562-776-2257

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY 46884
License Number StateCA

VIII. Authorized Official

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