Organization
FOX HILLS PHARMACY INC
Active
Other names
GRAND AVENUE PHARMACIES
Organization subpart
No
Provider details
NPI number
Authorized official
MARGO SOBOL PHARM D (OWNER)
(310) 649-3775
Entity
Organization
Contact information
Practice address
4455 W 117TH ST, STE 101, HAWTHORNE, CA 90250-2241
(310) 649-3774
(310) 649-3720
Mailing address
4455 W 117TH ST, STE 101, HAWTHORNE, CA 90250-2241
(310) 649-3774
(310) 649-3720
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46748
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2001007
PK
—
05
—
PHA467480
—
CA
Enumeration date
08/03/2005
Last updated
03/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us