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Organization
WHITE MEMORIAL MEDICAL PLAZA PHARMACY SERVICES INC
Active
Organization
WHITE MEMORIAL MEDICAL PLAZA PHARMACY SERVICES INC
Active
Other names
White Memorial Medical Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PARESHKUMAR PATEL (CEO)
(323) 221-6000
Entity
Organization
Contact information
Practice address
1701 E CESAR E CHAVEZ AVE, STE 109, LOS ANGELES, CA 90033
(323) 221-6000
(323) 221-0999
Mailing address
1701 E CESAR E CHAVEZ AVE, STE 109, LOS ANGELES, CA 90033
(323) 221-6000
(323) 221-0999
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0505187
NCPDP NUMBER
CA
Enumeration date
11/28/2006
Last updated
08/21/2020
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