Jose R Sardinas in Hawthorne - Community/retail Pharmacy

Jose R Sardinas - NPI 1164558797

Jose R Sardinas is a Community/retail Pharmacy in Hawthorne, California. Jose R Sardinas practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Jose R Sardinas is 1164558797. The last update date is 2008-08-06.

Jose R Sardinas's current location address is 11930 Hawthorne Blv, Hawthorne, California. You can contact this provider via phone number 3109735200 and fax number 3109731243. The mailing address for Jose R Sardinas is 11930 Hawthorne Blv, Hawthorne, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jose R Sardinas
Address 11930 Hawthorne Blv, Hawthorne, California
Phone Number 3109735200
Fax Number 3109731243
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHAR
Authorized Official Name Sardinas R Jose
Credentials PHARMACIST
Telephone Number 3109735200

NPI Number Detail

NPI Number 1164558797
Provider Enumeration Date 2007-02-26
Last Updated Date 2008-08-06

Provider Mailing Address Detail

Address 11930 Hawthorne Blv
City Hawthorne
State California (CA)
Post Code 90250
Phone Number 3109735200
Fax Number 3109731243

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Licence No PHY20259
Definition:
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 pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
PHA202590 MEDICAL
566589 TAX 028418

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FAQs about Jose R Sardinas

What is the Jose R Sardinas's unique identification number?

The Jose R Sardinas has been assigned the NPI (National Provider Identifier) Number 1164558797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Jose R Sardinas's facilities are situated?

The facilities of Jose R Sardinas are physically located at the following address: 11930 Hawthorne Blv, Hawthorne, CA, 90250.

What is Jose R Sardinas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jose R Sardinas is Community/retail Pharmacy, and the taxonomy code that categorizes this field of expertise is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1164558797 to Jose R Sardinas?

The Centers for Medicare & Medicaid Services originally issued the 1164558797 to Jose R Sardinas on 2007-02-26.

When was the information related to Jose R Sardinas most recently updated or refreshed?

The details pertaining to the Jose R Sardinas, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-06.

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