Mid West Medical Pharmacy

LBN: Turaj Tom Shafa
Mid West Medical Pharmacy is an health care organization with primary practice located at 8733 Beverly Blvd Ste 100, West Hollywood CA 90048-1890. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Turaj Tom Shafa can be contacted via phone (310) 657-1635, or through Shafa, Tom via phone (310) 657-1635.

Contact Information

Primary practice address
8733 Beverly Blvd Ste 100 West Hollywood CA 90048-1890
Phone: (310) 657-1635
Fax: (310) 657-5455
Website:
Map and Directions
Authorized official contact:
Name: Shafa, Tom RPH
Phone: (310) 657-1635

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY22051 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1114901014
LBN Legal business name Turaj Tom Shafa
DBA Doing business as Mid West Medical Pharmacy
Authorized official Shafa, Tom RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2005
Last updated Dec 22nd, 2021 - about 5 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 1114901014 NPPES
Other 2002290 PK
MEDICAID PHA220510 PK

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