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COLFAX PHARMACEUTICAL INC NPI 1336247360


NPI Information

NPI: 1336247360
Provider Name: COLFAX PHARMACEUTICAL INC

Doing Business As: BRENTWOOD PLAZA PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11980 SAN VICENTE BLVD
STE 104
LOS ANGELES, CA
ZIP 90049
Phone: (310) 820-1496
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COLFAX PHARMACEUTICAL 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. COLFAX PHARMACEUTICAL INC NPI is 1336247360. The provider is registered as an organization entity type.
The provider Is Doing Business As Brentwood Plaza Pharmacy.

The provider's business location address is:

11980 SAN VICENTE BLVD
STE 104
LOS ANGELES, CA
ZIP 90049-012
Phone: (310) 820-1496
Fax: (310) 820-4186

The provider's authorized official is Ben Tehrani .
The authorized official title is Ceo/pic and has the following contact phone number (310) 820-1496.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 4/28/2017.


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
13336S0011XPharmacySpecialty PharmacyNo
2333600000XPharmacyNo
3332B00000XDurable Medical Equipment & Medical SuppliesNo
43336C0003XPharmacyCommunity/Retail Pharmacy51494CALIFORNIAYes

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
17521240001MEDICARE NSC
22141894OTHERPK
31336247360MEDICAIDCALIFORNIA

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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