Organization
BREA HILLS PHARMACY
Active
Other names
MEDICINE SHOPPE #1135
Organization subpart
No
Provider details
NPI number
Authorized official
DR. U CHIKA OKORO PHARM D (OWNER)
(310) 412-6088
Entity
Organization
Contact information
Practice address
1101 N LA BREA AVE, INGLEWOOD, CA 90302-1212
(310) 412-6088
(310) 412-3050
Mailing address
1101 N LA BREA AVE, INGLEWOOD, CA 90302-1212
(310) 412-6088
(310) 412-3050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY37138
CA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0522638
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA371380
—
CA
Enumeration date
11/15/2006
Last updated
03/07/2023
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