Organization
L A CENTRAL PHARMACY INC
Active
Other names
L A CENTRAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA LIN MASTER (PIC)
(213) 483-3929
Entity
Organization
Contact information
Practice address
2221 BEVERLY BLVD, LOS ANGELES, CA 90057-2207
(213) 483-3929
(213) 483-4803
Mailing address
2221 BEVERLY BLVD, LOS ANGELES, CA 90057-2207
(213) 483-3929
(213) 483-4803
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579079
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA438100A
—
CA
Enumeration date
12/26/2006
Last updated
08/11/2011
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