Organization
BOYLE HEIGHTS RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH S FRANCISCO (PRESIDENT)
(951) 378-6444
Entity
Organization
Contact information
Practice address
1611 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2411
(323) 222-0736
(323) 222-1209
Mailing address
1611 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2411
(323) 222-0736
(323) 222-1209
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY49279
CA
3336C0003X
Community/Retail Pharmacy
PHY 49279
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY49279
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-35267
NCPDP NUMBER
CA
05
—
CB276893
—
CA
05
—
PHA402710/1407057474
—
CA
Enumeration date
06/05/2008
Last updated
03/07/2023
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