# FMP ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Tricare Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245469295
- **Authorized official:** MR. MARK HOWARD DEUTSCH (MEMBER)
- **Authorized official phone:** (818) 985-1814

## Contact information

- **Practice address:** 13237 SATICOY ST, \#4, NORTH HOLLYWOOD, CA 91605-3432
- **Practice address phone:** (818) 985-1814
- **Practice address fax:** (818) 985-5005
- **Mailing address:** 5335 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607-2711
- **Mailing address phone:** (818) 985-1814
- **Mailing address fax:** (818) 985-5005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHY 46616 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2009
- **Last updated:** 07/13/2009