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NPI Code Detail

MEDICARE: FOBI COMPREHENSIVE PHARMACY, INC

MEDICARE: FOBI COMPREHENSIVE PHARMACY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail PharmacyPHY 47045CA
23336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1184621385
Entity Type Code : Organization
Provider Name (Legal Business Name) : FOBI COMPREHENSIVE PHARMACY, INC
Provider Business Mailing Address
First Line : 7922 ROSECRANS AVE STE P-2
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-6009
Country : US
Telephone Number : 562-630-5700
Fax Number : 562-630-5705
Provider Business Practice Location Address
First Line : 7922 ROSECRANS AVE STE P-2
Second Line :
City : PARAMOUNT
State : CA
Zip : 90723-6009
Country : US
Telephone Number : 562-630-5700
Fax Number : 562-630-5705
Authorized Official
Title or Position : PRESIDENT GENERAL MANAGER
Name : DR. WILLIAM W. FOBI
Credential : PHARM.D
Telephone Number : 562-630-5700
Provider Enumeration Date : 07/01/2005
Last Update Date : 01/22/2019

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