Organization · NPI-2

1663 Pharmacy INC

Pharmacist · Los Angeles, CA

NPI number1740343433
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1740343433
Entity type
Organization (NPI-2)
Legal business name
1663 Pharmacy INC
Organization subpart
No
Enumeration date
Dec 18, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist31852CAYes

Practice location

1663 Beverly Blvd
Los Angeles, CA 90026-5710

Phone 213-250-7229 · Fax 213-250-0439

Mailing address

1663 Beverly Blvd
Los Angeles, CA 90026-5710

Phone 213-250-7229 · Fax 213-250-0439

Authorized official

Teodoro Reyes Santos
Pharmacist
2132507229

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Los Angeles, CA