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NPI Code Detail

MEDICARE: LITTLE CO PHARMACY

MEDICARE: LITTLE CO PHARMACY
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
1333600000XPharmacyHSP44501CA

Other Identifiers

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

General Provider Information

NPI Number : 1437142312
Entity Type Code : Organization
Provider Name (Legal Business Name) : LITTLE CO PHARMACY
Provider Business Mailing Address
First Line : 4101 TORRANCE BLVD
Second Line :
City : TORRANCE
State : CA
Zip : 90503-4607
Country : US
Telephone Number : 310-303-5722
Fax Number :
Provider Business Practice Location Address
First Line : 4101 TORRANCE BLVD
Second Line :
City : TORRANCE
State : CA
Zip : 90503-4607
Country : US
Telephone Number : 310-303-5722
Fax Number :
Authorized Official
Title or Position : PHARMACY DIRECTOR
Name : DR. MUNAVER H BHOLAT
Credential : PHARM.D.
Telephone Number : 310-303-5728
Provider Enumeration Date : 08/25/2005
Last Update Date : 08/22/2020

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Directions to “LITTLE CO PHARMACY ” Practice Location

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