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PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA NPI 1821010315


NPI Information

NPI: 1821010315
Provider Name: PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA

Doing Business As: PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE PHARMACY

Classification: Pharmacy - 3336I0012X
Entity Type: Organization

Specialization: Institutional Pharmacy

Address:
4101 TORRANCE BLVD
TORRANCE, CA
ZIP 90503
Phone: (310) 303-5777
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PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA is an institutional pharmacy pharmacy in Torrance, CA. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; 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 1821010315. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Little Company Of Mary Medical Center Torrance Pharmacy.

The provider's business location address is:

4101 TORRANCE BLVD
TORRANCE, CA
ZIP 90503-607
Phone: (310) 303-5777
Fax: (310) 303-5778

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 enumeration date for this NPI number is 7/24/2006 and was last updated on 3/13/2023.


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
1333600000XPharmacyNo
23336M0002XPharmacyMail Order PharmacyNo
33336S0011XPharmacySpecialty PharmacyNo
43336I0012XPharmacyInstitutional PharmacyHSP47224CALIFORNIAYes

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
11997017OTHERPK

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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