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PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA NPI 1356962385


NPI Information

NPI: 1356962385
Provider Name: PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 05D0662271

Address:
18370 BURBANK BLVD STE 104
TARZANA, CA
ZIP 91356
Phone: (818) 996-3600
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PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA is a community/retail pharmacy pharmacy in Tarzana, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA NPI is 1356962385. The provider is registered as an organization entity type.

The provider's business location address is:

18370 BURBANK BLVD STE 104
TARZANA, CA
ZIP 91356-804
Phone: (818) 996-3600
Fax: (818) 996-8630

The provider's authorized official is Donald Wayne Anderson .
The authorized official title is Assistant Secretary For Enrollment and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 05D0662271 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/30/2020 and was last updated on 4/30/2020.


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
13336C0003XPharmacyCommunity/Retail PharmacyYes

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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