Organization
JOHNS SHOP-RITE PHARMACY INC
Active
Other names
JOHNS SHOP RITE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RAMSEY HALIM RPH (PIC)
(562) 616-0056
Entity
Organization
Contact information
Practice address
4333 SOUTH ST, LAKEWOOD, CA 90712-1148
(562) 616-0056
(562) 220-1532
Mailing address
4333 SOUTH ST, LAKEWOOD, CA 90712-1148
(562) 616-0056
(562) 220-1532
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122510147001
—
CA
01
—
1990115
PK
—
Enumeration date
11/16/2006
Last updated
11/05/2020
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