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FMP ENTERPRISES LLC NPI 1245469295


NPI Information

NPI: 1245469295
Provider Name: FMP ENTERPRISES, LLC

Doing Business As: TRICARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
13237 SATICOY ST
#4
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 985-1814
Get Directions

FMP ENTERPRISES, LLC is a long term care pharmacy pharmacy in North Hollywood, CA. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. FMP ENTERPRISES, LLC NPI is 1245469295. The provider is registered as an organization entity type.
The provider Is Doing Business As Tricare Pharmacy.

The provider's business location address is:

13237 SATICOY ST
#4
NORTH HOLLYWOOD, CA
ZIP 91605-432
Phone: (818) 985-1814
Fax: (818) 985-5005

The provider's authorized official is Mark Howard Deutsch .
The authorized official title is Member and has the following contact phone number (818) 985-1814.

The enumeration date for this NPI number is 7/13/2009 and was last updated on 7/13/2009.


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
13336L0003XPharmacyLong Term Care PharmacyPHY 46616CALIFORNIAYes

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
1PHA466160MEDICAIDCALIFORNIA

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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