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COMPOUNDING PHARMACY ASSOCIATES AND CONSULTANTS INC NPI 1275669020


NPI Information

NPI: 1275669020
Provider Name: COMPOUNDING PHARMACY ASSOCIATES AND CONSULTANTS INC

Doing Business As: PORTOLA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
3408 N EASTERN AVE
LOS ANGELES, CA
ZIP 90032
Phone: (323) 222-2362
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COMPOUNDING PHARMACY ASSOCIATES AND CONSULTANTS INC is a community/retail pharmacy pharmacy in Los Angeles, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); 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. COMPOUNDING PHARMACY ASSOCIATES AND CONSULTANTS INC NPI is 1275669020. The provider is registered as an organization entity type.
The provider Is Doing Business As Portola Pharmacy.

The provider's business location address is:

3408 N EASTERN AVE
LOS ANGELES, CA
ZIP 90032-934
Phone: (323) 222-2362
Fax: (323) 225-4171

The provider's authorized official is Geneva Ge Chen .
The authorized official title is President and has the following contact phone number (323) 222-2362.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 3/11/2021.


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
1291U00000XClinical Medical LaboratoryNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPHY55260CALIFORNIAYes

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
11275669020MEDICAIDCALIFORNIA
205-10760OTHERCALIFORNIANCPDP NUMBER
3PHY55260OTHERCALIFORNIACALIFORNIA STATE BOARD OF PHARMACY PERMIT

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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