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WATTS CLINIC PHARMACY NPI 1124165956


NPI Information

NPI: 1124165956
Provider Name: WATTS CLINIC PHARMACY

Other Name: PHARMEDQUEST PHARMACY SERVICES

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
10300 COMPTON AVE
LOS ANGELES, CA
ZIP 90002
Phone: (714) 926-7131
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WATTS CLINIC PHARMACY is a clinic pharmacy pharmacy in Los Angeles, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. WATTS CLINIC PHARMACY NPI is 1124165956. The provider is registered as an organization entity type.
The provider Other Name Is Pharmedquest Pharmacy Services.

The provider's business location address is:

10300 COMPTON AVE
LOS ANGELES, CA
ZIP 90002-628
Phone: (714) 926-7131

The provider's authorized official is Dalila Ibarra .
The authorized official title is Licensing & Credentialing Coordinat and has the following contact phone number (714) 599-8181.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 2/27/2023.


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
13336C0002XPharmacyClinic PharmacyPHY46869CALIFORNIAYes

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
15615591OTHERCALIFORNIANCPDP NUMBER
2PHY46869OTHERCALIFORNIASTATE LICENSE
3PHA463330MEDICAIDCALIFORNIA

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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