Organization
LITTLE COMPANY OF MARY SUBACUTE CARE
Active
Other names
Bay Harbor Rehab Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER W GREENHAM PHARM D (PHARMACIST IN CHARGE/MANAGER)
(310) 791-4511
Entity
Organization
Contact information
Practice address
3620 LOMITA BLVD, TORRANCE, CA 90505-3938
(310) 791-4511
(310) 791-4512
Mailing address
3620 LOMITA BLVD, TORRANCE, CA 90505-3938
(310) 791-4511
(310) 791-4512
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
HSP37720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0534102
NABP-3RD PARTY DRUG PROG
—
05
—
PHB377200
—
CA
Enumeration date
09/16/2005
Last updated
08/22/2020
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