Mickey Fine Pharmacy
LBN: G And J Gross, Inc.
Mickey Fine Pharmacy is an health care organization with primary practice located at 433 N Roxbury Dr , Beverly Hills CA 90210-5001. The organization recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
G And J Gross, Inc. can be contacted via phone (310) 271-6123, or through Gross, Jeffrey via phone (310) 271-6123.
Contact Information
Primary practice address
433 N Roxbury Dr
Beverly Hills CA 90210-5001
Phone: (310) 271-6123
Fax: (310) 273-5339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Diabetes Educator | 163WD0400X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY51055 | California |
| Suppliers / Compounding Pharmacy | 3336C0004X |
Profile Details
| NPI number | 1083744916 |
|---|---|
| LBN Legal business name | G And J Gross, Inc. |
| DBA Doing business as | Mickey Fine Pharmacy |
| Authorized official | Gross, Jeffrey |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jan 7th, 2019 - about 7 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 | 1083744916 | NPPES |
| California | MEDICAID | 1083744916 | |
| California | Other | 2136312 |
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