Organization
FOX HILLS PHARMACY INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up