Organization
ROBERT SHIEPE
Active
Other names
BOBS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BOB SHIEPE RPH (PHARMACIST IN CHARGE)
(310) 838-7292
Entity
Organization
Contact information
Practice address
6136 VENICE BLVD, STE 100, LOS ANGELES, CA 90034-2221
(310) 838-7292
(310) 838-7293
Mailing address
6136 VENICE BLVD, STE 100, LOS ANGELES, CA 90034-2221
(310) 838-7292
(310) 838-7293
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY34107
CA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0589082
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA341070
—
CA
Enumeration date
08/19/2006
Last updated
06/22/2011
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