MEDICARE: BIOTECH PHARMACEUTICALS. 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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
3	3336C0003X	Community/Retail Pharmacy	PHY47409	CA

General Provider Information

NPI Number	:	1225069750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIOTECH PHARMACEUTICALS. INC.

Provider Business Mailing Address
First Line	:	PO BOX 86273
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90086-0273
Country	:	US
Telephone Number	:	323-225-5966
Fax Number	:	323-225-0537

Provider Business Practice Location Address
First Line	:	1030 W MARTIN LUTHER KING JR BLVD
Second Line	:	SUITE 104
City	:	LOS ANGELES
State	:	CA
Zip	:	90037-1871
Country	:	US
Telephone Number	:	323-225-5800
Fax Number	:	323-225-5885

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. CHERYL C. TURNER
Credential	:
Telephone Number	:	213-505-5372

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	08/18/2008

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