Medly Pharmacy

LBN: Pharmaca Integrative Pharmacy Inc
Medly Pharmacy is an health care organization with primary practice located at 12025 San Vicente Blvd , Los Angeles CA 90049. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Pharmaca Integrative Pharmacy Inc can be contacted via phone (310) 476-1237, or through Farrell, Alison via phone (717) 254-9011.

Contact Information

Primary practice address
12025 San Vicente Blvd Los Angeles CA 90049
Phone: (310) 476-1237
Fax: (310) 476-0152
Website:
Map and Directions
Authorized official contact:
Name: Farrell, Alison
Phone: (717) 254-9011

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 49065 California
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1780682757
LBN Legal business name Pharmaca Integrative Pharmacy Inc
DBA Doing business as Medly Pharmacy
Authorized official Farrell, Alison
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 22nd, 2022 - about 4 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 1780682757 NPPES
Other 0500024 NCPDP PROVIDER IDENTIFICATION NUMBER

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