Organization
LITTLE COMPANY OF MARY SUBACUTE CARE
Active
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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