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CHURCH CAPITAL LLC NPI 1295812345


NPI Information

NPI: 1295812345
Provider Name: CHURCH CAPITAL LLC

Doing Business As: MEDICINE LAND PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
7400 VAN NUYS BLVD
UNIT 101
VAN NUYS, CA
ZIP 91405
Phone: (818) 997-7000
Get Directions

CHURCH CAPITAL LLC is a community/retail pharmacy pharmacy in Van Nuys, 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. CHURCH CAPITAL LLC NPI is 1295812345. The provider is registered as an organization entity type.
The provider Is Doing Business As Medicine Land Pharmacy.

The provider's business location address is:

7400 VAN NUYS BLVD
UNIT 101
VAN NUYS, CA
ZIP 91405-966
Phone: (818) 997-7000
Fax: (818) 997-7003

The provider's authorized official is Armen Manoukian .
The authorized official title is Member/pic and has the following contact phone number (818) 997-7000.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 3/26/2013.


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
1333600000XPharmacyPHY51231CALIFORNIANo
23336C0003XPharmacyCommunity/Retail PharmacyPHY 51231CALIFORNIAYes

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
105-67199OTHERCALIFORNIANCPDP
21295812345OTHERCALIFORNIAMEDI-CAL PROVIDER NUMNER
3PHY51231OTHERCALIFORNIACALIFORNIA 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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