Organization
ANEROL INC
Active
Other names
LORENA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BALL PHARM D (PIC)
(323) 268-3384
Entity
Organization
Contact information
Practice address
3400 WHITTIER BLVD, LOS ANGELES, CA 90023-1708
(323) 268-3384
(323) 268-1940
Mailing address
PO BOX 39879, DOWNEY, CA 90239-0879
(323) 268-3384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY35861
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995608
PK
—
05
—
PHA35861
—
CA
Enumeration date
08/31/2006
Last updated
04/19/2017
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