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SHORELINE PHARMACEUTICALS INC NPI 1124386123


NPI Information

NPI: 1124386123
Provider Name: SHORELINE PHARMACEUTICALS INC

Doing Business As: SHORELINE PHARMACEUTICALS, INC.

Classification: Pharmacy - 3336S0011X
Entity Type: Organization

Specialization: Specialty Pharmacy

Address:
16530 VENTURA BLVD STE 610
ENCINO, CA
ZIP 91436
Phone: (310) 464-9170
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SHORELINE PHARMACEUTICALS INC is a specialty pharmacy pharmacy in Encino, CA. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. SHORELINE PHARMACEUTICALS INC NPI is 1124386123. The provider is registered as an organization entity type.
The provider Is Doing Business As Shoreline Pharmaceuticals, Inc..

The provider's business location address is:

16530 VENTURA BLVD STE 610
ENCINO, CA
ZIP 91436-042
Phone: (310) 464-9170
Fax: (310) 464-9171

The provider's authorized official is Matthew Walk .
The authorized official title is President and has the following contact phone number (310) 464-9170.

The enumeration date for this NPI number is 4/26/2012 and was last updated on 9/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0004XPharmacyCompounding PharmacyNo
2333600000XPharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesNo
53336C0003XPharmacyCommunity/Retail PharmacyNo
63336S0011XPharmacySpecialty PharmacyPHY51832CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12136134OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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