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MI ENTERPRISES LLC NPI 1184893117


NPI Information

NPI: 1184893117
Provider Name: MI ENTERPRISES LLC

Doing Business As: ST MONICA PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
8575 KNOTT AVE
STE D
BUENA PARK, CA
ZIP 90620
Phone: (714) 527-6078
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MI ENTERPRISES LLC is a long term care pharmacy pharmacy in Buena Park, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MI ENTERPRISES LLC NPI is 1184893117. The provider is registered as an organization entity type.
The provider Is Doing Business As St Monica Pharmacy.

The provider's business location address is:

8575 KNOTT AVE
STE D
BUENA PARK, CA
ZIP 90620-850
Phone: (714) 527-6078
Fax: (714) 527-7185

The provider's authorized official is Marvel July .
The authorized official title is Pres and has the following contact phone number (741) 527-6078.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 9/23/2010.


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
13336L0003XPharmacyLong Term Care PharmacyPHY48675CALIFORNIAYes

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
15630872OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
26197920001MEDICARE NSC

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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