Loyola Pharmacy
LBN: Emerson Pharmacy Inc
Loyola Pharmacy is an health care organization with primary practice located at 8610 S Sepulveda Blvd Ste 108 , Los Angeles CA 90045-4009. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Emerson Pharmacy Inc can be contacted via phone (310) 670-3834, or through Rodefshalom, Nima via phone (310) 670-3834.
Contact Information
Primary practice address
8610 S Sepulveda Blvd Ste 108
Los Angeles CA 90045-4009
Phone: (310) 670-3834
Fax: (310) 670-4921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY53692 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1619036043 |
|---|---|
| LBN Legal business name | Emerson Pharmacy Inc |
| DBA Doing business as | Loyola Pharmacy |
| Authorized official | Rodefshalom, Nima |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 8th, 2006 |
| Last updated | Oct 12th, 2016 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619036043 | NPPES |
| Other | 1992617 | PK | |
| MEDICAID | PHA406050 | PK |
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