CIROCA CORP. NPI 1366443103

NPI Information

CIROCA CORP. is a pharmacy in Hawthorne, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CIROCA CORP. NPI is 1366443103. The provider is registered as an organization entity type.
The provider Is Doing Business As Supermarket Pharmacy And Health Care Center.

The provider's business location address is:

13624 HAWTHORNE BLVD
SUITE 102
HAWTHORNE, CA
ZIP 90250-818
Phone: (310) 679-9844
Fax: (310) 679-7964

The provider's authorized official is Jairo De La Rosa .
The authorized official title is Vicepresident and has the following contact phone number (310) 679-9844.

The enumeration date for this NPI number is 8/2/2005 and was last updated on 8/22/2020.

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:

Other Identifiers

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

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