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Organization
GAVIN HERBERT COMPANY
Active
Organization
GAVIN HERBERT COMPANY
Active
Other names
HORTON AND CONVERSE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH LUMPKIN PHRM (PRESIDENT)
(949) 640-1231
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, INGLEWOOD, CA 90301-4502
(310) 677-7133
(310) 672-2562
Mailing address
PO BOX 9889, NEWPORT BEACH, CA 92658-1889
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
PHY16601
CA
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519237
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA166010
—
CA
Enumeration date
11/08/2006
Last updated
09/11/2025
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