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PHARMACY OF THE STARS INC NPI 1144203167


NPI Information

NPI: 1144203167
Provider Name: PHARMACY OF THE STARS INC

Doing Business As: PHARMACY OF THE STARS

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
1900 AVENUE OF THE STARS
SUITE A105
LOS ANGELES, CA
ZIP 90067
Phone: (310) 556-4682
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PHARMACY OF THE STARS INC is a pharmacy in Los Angeles, 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. PHARMACY OF THE STARS INC NPI is 1144203167. The provider is registered as an organization entity type.
The provider Is Doing Business As Pharmacy Of The Stars.

The provider's business location address is:

1900 AVENUE OF THE STARS
SUITE A105
LOS ANGELES, CA
ZIP 90067-301
Phone: (310) 556-4682
Fax: (310) 556-4683

The provider's authorized official is Hyun S Park .
The authorized official title is Pharmacist and has the following contact phone number (310) 556-4682.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 4/17/2009.


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
1333600000XPharmacyPHY46038CALIFORNIAYes

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
1PHA460380MEDICAIDCALIFORNIA
25611360001MEDICARE 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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