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TRICARE PHARMACY NPI 1700044609


NPI Information

NPI: 1700044609
Provider Name: TRICARE PHARMACY

Other Name: PHARMACY SERVICE ENTERPRISES INC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
13237 SATICOY ST
SUITE 4
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 985-1814
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TRICARE PHARMACY 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. TRICARE PHARMACY NPI is 1700044609. The provider is registered as an organization entity type.
The provider Other Name Is Pharmacy Service Enterprises Inc.

The provider's business location address is:

13237 SATICOY ST
SUITE 4
NORTH HOLLYWOOD, CA
ZIP 91605
Phone: (818) 985-1814

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

The enumeration date for this NPI number is 5/28/2008 and was last updated on 5/28/2008.


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 PharmacyPHY46616CALIFORNIAYes

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
1PHA349270OTHERMEDICAL PROVIDER NUMBER

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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