MEDICARE: BELLA YOUSSEF DBA AMERI-CARE DRUGS

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	PHY45301	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHA453010	OTHER	CA	MEDICAL

General Provider Information

NPI Number	:	1508852054
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA YOUSSEF DBA AMERI-CARE DRUGS

Provider Business Mailing Address
First Line	:	500 W WILLOW ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2831
Country	:	US
Telephone Number	:	562-490-0005
Fax Number	:	562-988-7894

Provider Business Practice Location Address
First Line	:	500 W WILLOW ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-2831
Country	:	US
Telephone Number	:	562-490-0005
Fax Number	:	562-988-7894

Authorized Official
Title or Position	:	PHARMACY OWNER
Name	:	MRS. BELLA YOUSSEF
Credential	:
Telephone Number	:	310-200-9226

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	07/01/2008

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