MEDICARE: ROYAL HILLS 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
1	183500000X	Pharmacist	PHY42899	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396733309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL HILLS PHARMACY, INC.

Provider Business Mailing Address
First Line	:	7301 MEDICAL CENTER DR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-1904
Country	:	US
Telephone Number	:	818-887-4670
Fax Number	:	818-887-4943

Provider Business Practice Location Address
First Line	:	7301 MEDICAL CENTER DR
Second Line	:
City	:	WEST HILLS
State	:	CA
Zip	:	91307-1904
Country	:	US
Telephone Number	:	818-887-4670
Fax Number	:	818-887-4943

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE
Name	:	MR. BERNARD YARCHOVER
Credential	:	R. PH.
Telephone Number	:	818-887-4670

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	08/22/2020

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