# BODYSTORE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOSPICARE PHARMACY LOS ANGELES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700897295
- **Authorized official:** JENSEN CHANG PHARM.D. (CEO)
- **Authorized official phone:** (818) 736-5828

## Contact information

- **Practice address:** 3000 N HOLLYWOOD WAY STE 103, BURBANK, CA 91505-1026
- **Practice address phone:** (818) 736-5828
- **Practice address fax:** (818) 736-5838
- **Mailing address:** PO BOX 370, SAN DIMAS, CA 91773-0370
- **Mailing address phone:** (818) 736-5828
- **Mailing address fax:** (818) 736-5838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 05/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1997864 | PK | — |
| 05 | — | PHA46900 | — | CA |