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LEO'S CATALINA DRUG STORE INC. NPI 1134105497


NPI Information

NPI: 1134105497
Provider Name: LEO'S CATALINA DRUG STORE INC.
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
401 CRESCENT AVE.
AVALON, CA
ZIP 90704
Phone: (310) 510-0189
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LEO'S CATALINA DRUG STORE INC. is a pharmacist in Avalon, CA. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. LEO'S CATALINA DRUG STORE INC. NPI is 1134105497. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

401 CRESCENT AVE.
AVALON, CA
ZIP 90704-543
Phone: (310) 510-0189
Fax: (310) 510-2585

The provider's authorized official is Bryce Noll .
The authorized official title is Director and has the following contact phone number (310) 510-0189.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 10/19/2017.


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
1183500000XPharmacistPHY46830CALIFORNIAYes

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
1PHA468300MEDICAIDCALIFORNIA
25547790001MEDICARE NSCCALIFORNIA

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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