=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679380356
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE MEDICINE CABINET INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2024
-----------------------------------------------------
Last Update Date | 01/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3270 TWEEDY BLVD STE C
-----------------------------------------------------
City | SOUTH GATE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90280-4372
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-564-2056
-----------------------------------------------------
Fax | 323-564-2062
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9901 PARAMOUNT BLVD STE 110
-----------------------------------------------------
City | DOWNEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90240-3852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 562-806-8394
-----------------------------------------------------
Fax | 562-776-2257
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ASH SOLIMAN
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 562-806-8394
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------