Fate Pharmacy INC
Pharmacy, Long Term Care Pharmacy in Mission Hills, CA. Organization (NPI-2).
NPI number1124882477
StatusActive
Last updated in NPPESFeb 7, 2024
Details
- NPI
- 1124882477
- Entity type
- Organization (NPI-2)
- Legal business name
- Fate Pharmacy INC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2024
- Certification date
- Feb 7, 2024
- Last updated
- Feb 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336L0003X | Pharmacy, Long Term Care Pharmacy | – | – | Yes |
Practice location
10200 Sepulveda Blvd Ste 250Mission Hills, CA 91345-2690
Phone 818-927-1020
Mailing address
10200 Sepulveda Blvd Ste 250Mission Hills, CA 91345-2690
Phone 818-927-1020
Authorized official
Laila Amini
Owner
8189271020
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