Emerson Pharmacy Inc in Los Angeles - Compounding Pharmacy

Emerson Pharmacy Inc - NPI 1619036043

Emerson Pharmacy Inc is a Compounding Pharmacy in Los Angeles, California. Emerson Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Emerson Pharmacy Inc is 1619036043. The last update date is 2016-10-12.

Emerson Pharmacy Inc's current location address is 1702 S Robertson Blvd # 152, Los Angeles, California. You can contact this provider via phone number 3106703834 and fax number 3106704921. The mailing address for Emerson Pharmacy Inc is 1702 S Robertson Blvd # 152, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Emerson Pharmacy Inc
Address 1702 S Robertson Blvd # 152, Los Angeles, California
Phone Number 3106703834
Fax Number 3106704921
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Rodefshalom Nima
Telephone Number 3106703834

NPI Number Detail

NPI Number 1619036043
Provider Enumeration Date 2006-12-08
Last Updated Date 2016-10-12

Provider Mailing Address Detail

Address 1702 S Robertson Blvd # 152
City Los Angeles
State California (CA)
Post Code 900354316
Phone Number 3106703834
Fax Number 3106704921

Provider's Primary Taxonomy Detail

Speciality Compounding Pharmacy
Taxonomy 3336C0004X
Definition:
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1992617 PK
PHA406050 CA --

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FAQs about Emerson Pharmacy Inc

What is the unique provider identifier assigned to Emerson Pharmacy Inc?

The Emerson Pharmacy Inc has been issued the NPI (National Provider Identifier) 1619036043 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Emerson Pharmacy Inc?

The Emerson Pharmacy Inc is situated at 1702 S Robertson Blvd # 152, in the city of Los Angeles, state of CA, with the zip code 900354316.

What is Emerson Pharmacy Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Emerson Pharmacy Inc is Compounding Pharmacy, and the taxonomy classification code that categorizes this area of expertise is 3336C0004X.

On what date did the Emerson Pharmacy Inc receive the assignment of its 1619036043 from the Centers for Medicare & Medicaid Services?

The Emerson Pharmacy Inc was issued its 1619036043 by the Centers for Medicare & Medicaid Services on 2006-12-08.

When was the Emerson Pharmacy Inc's information last updated?

The Emerson Pharmacy Inc's information was last updated on 2016-10-12.

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