<Unavail>
LBN: St Kerollos Pharmacy Inc
<Unavail> is an health care organization with primary practice located at 111 E Carson St Ste B , Carson CA 90745-7722. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
St Kerollos Pharmacy Inc can be contacted via phone (310) 835-1000, or through Henein, Bassem Nabil Habib via phone (562) 480-8254.
Contact Information
Primary practice address
111 E Carson St Ste B
Carson CA 90745-7722
Phone: (310) 835-1000
Fax: (310) 835-3000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY55991 | California |
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1306344858 |
|---|---|
| LBN Legal business name | St Kerollos Pharmacy Inc |
| DBA Doing business as | <Unavail> |
| Authorized official | Henein, Bassem Nabil Habib |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 30th, 2018 |
| Last updated | Apr 10th, 2026 - about 6 months 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 | 1306344858 | NPPES |
| California | MEDICAID | 1306344858 | |
| California | Other | CB303409 | |
| California | Other | 7591770003 |
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