Peticub

LBN: Peticub
Peticub is an health care organization with primary practice located at 1804 S La Cienega Blvd # 102 , Los Angeles CA 90035-4670. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Peticub can be contacted via phone (310) 839-7387, or through Shaoulian, Rabin via phone (310) 839-7387.

Contact Information

Primary practice address
1804 S La Cienega Blvd # 102 Los Angeles CA 90035-4670
Phone: (310) 839-7387
Fax: (310) 288-9141
Website:
Map and Directions
Authorized official contact:
Name: Shaoulian, Rabin
Phone: (310) 839-7387

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1790049484
LBN Legal business name Peticub
DBA Doing business as Peticub
Authorized official Shaoulian, Rabin
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2012
Last updated Aug 21st, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790049484 NPPES
Other 5644821 NCPDP PROVIDER IDENTIFICATION NUMBER

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