Organization
NAT-PHARM INC
Active
Other names
SOUTH BAY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN BHAKTA PHARM D (CEO)
(310) 379-9885
Entity
Organization
Contact information
Practice address
520 N PROSPECT AVE, STE 110, REDONDO BEACH, CA 90277-3041
(310) 379-9885
(310) 372-6034
Mailing address
520 N PROSPECT AVE, STE 110, REDONDO BEACH, CA 90277-3041
(310) 379-9885
(310) 372-6034
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40278
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1993435
PK
—
05
—
PHA402780
—
CA
Enumeration date
11/07/2006
Last updated
07/10/2024
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