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NPI Code Detail

MEDICARE: MCCARTHY PHARMACY INC

MEDICARE: MCCARTHY 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
1333600000XPharmacy
23336C0003XCommunity/Retail PharmacyPHY47293CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12113718OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487737391
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCCARTHY PHARMACY INC
Provider Business Mailing Address
First Line : 301 N PRAIRIE AVE
Second Line : STE 110
City : INGLEWOOD
State : CA
Zip : 90301-4507
Country : US
Telephone Number : 310-672-7000
Fax Number : 310-672-7171
Provider Business Practice Location Address
First Line : 301 N PRAIRIE AVE
Second Line : STE 110
City : INGLEWOOD
State : CA
Zip : 90301-4507
Country : US
Telephone Number : 310-672-7000
Fax Number : 310-672-7171
Authorized Official
Title or Position : VP OWNER
Name : RAMIN AFRAMIM
Credential :
Telephone Number : 310-672-7000
Provider Enumeration Date : 10/23/2006
Last Update Date : 07/17/2024

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Directions to “MCCARTHY PHARMACY INC ” Practice Location

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