Tampa Plaza Pharmacy

LBN: S M Pharmaceutical Inc
Tampa Plaza Pharmacy is an health care organization with primary practice located at 19100 Ventura Blvd Ste L, Tarzana CA 91356-3239. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. S M Pharmaceutical Inc can be contacted via phone (818) 345-9292, or through Eli, Mike via phone (818) 345-9292.

Contact Information

Primary practice address
19100 Ventura Blvd Ste L Tarzana CA 91356-3239
Phone: (818) 345-9292
Fax: (818) 705-0526
Website:
Map and Directions
Authorized official contact:
Name: Eli, Mike
Phone: (818) 345-9292

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY44039 California

Profile Details

NPI number 1679616346
LBN Legal business name S M Pharmaceutical Inc
DBA Doing business as Tampa Plaza Pharmacy
Authorized official Eli, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 4th, 2011 - about 15 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 1679616346 NPPES
Other 0512423 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA440390 NCPDP PROVIDER IDENTIFICATION NUMBER

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