Usc Medical Plaza Pharmacy

LBN: University Of Southern California
Usc Medical Plaza Pharmacy is an health care organization with primary practice located at 1510 San Pablo St Ste 144, Los Angeles CA 90033-5320. 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. University Of Southern California can be contacted via phone (323) 442-5770, or through Rudolph, Michael via phone (323) 442-1354.

Contact Information

Primary practice address
1510 San Pablo St Ste 144 Los Angeles CA 90033-5320
Fax: (323) 442-5970
Website:
Authorized official contact:
Name: Rudolph, Michael RPH

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY37195 California
Suppliers / Compounding Pharmacy 3336C0004X

Profile Details

NPI number 1679676639
LBN Legal business name University Of Southern California
DBA Doing business as Usc Medical Plaza Pharmacy
Authorized official Rudolph, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 19th, 2018 - about 8 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 1679676639 NPPES
Other 1996506 PK
MEDICAID 1679676639 PK

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