# MONTEBELLO PHARMACY,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326030776
- **Authorized official:** MR. LEN SHLAIN (PRESIDENT)
- **Authorized official phone:** (323) 722-3200

## Contact information

- **Practice address:** 817 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
- **Practice address phone:** (323) 722-3200
- **Practice address fax:** (323) 722-3540
- **Mailing address:** 817 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
- **Mailing address phone:** (323) 722-3200
- **Mailing address fax:** (323) 722-3540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PHA41430 | CA | Yes |

## Other

- **Enumeration date:** 08/20/2005
- **Last updated:** 03/06/2018