Organization
QUALITY SPECIALTY PHARMACY INC
Active
Organization
QUALITY SPECIALTY PHARMACY INC
Active
Other names
QUALITY SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VADIM PINHASOV (SECRETARY)
(310) 530-2444
Entity
Organization
Contact information
Practice address
2233 LOMITA BLVD, LOMITA, CA 90717-1401
(310) 530-2444
(310) 530-8761
Mailing address
2233 LOMITA BLVD, LOMITA, CA 90717-1401
(310) 530-2444
(310) 530-8761
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50710
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50710
CA
3336S0011X
Specialty Pharmacy
PHY 50710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-14186
NCPDP/NABP
CA
01
—
PHY 50710
CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
08/03/2005
Last updated
01/17/2017
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