# PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821010315
- **Authorized official:** DONALD W ANDERSON JR. (ASSISTANT SECRETARY ENROLLMENTS)
- **Authorized official phone:** (425) 358-9786

## Contact information

- **Practice address:** 4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
- **Practice address phone:** (310) 303-5777
- **Practice address fax:** (310) 303-5778
- **Mailing address:** 4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
- **Mailing address phone:** (310) 303-5722
- **Mailing address fax:** (310) 303-5779

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | — | — |
| 3336I0012X | Institutional Pharmacy | HSP47224 | CA | Yes |
| 3336M0002X | Mail Order Pharmacy | — | — | — |
| 3336S0011X | Specialty Pharmacy | — | — | — |

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 05/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1997017 | PK | — |