Organization
GREGLAUR INTL INC
Active
Other names
SPAULDINGS RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
EVANRAND COOPER PHARMD (OWNER)
(310) 677-8181
Entity
Organization
Contact information
Practice address
336 E HILLCREST BLVD, INGLEWOOD, CA 90301-2414
(310) 677-8181
(310) 677-5842
Mailing address
336 E HILLCREST BLVD, INGLEWOOD, CA 90301-2414
(310) 677-8181
(310) 677-5842
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY37866
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0573736
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA378660
—
CA
Enumeration date
02/06/2007
Last updated
08/20/2010
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