Organization
ORTHOPAEDIC HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALINE BOGNACKI PHARMD (PHARMACY MANAGER)
(213) 742-1129
Entity
Organization
Contact information
Practice address
403 W ADAMS BLVD, LOS ANGELES, CA 90007
(213) 742-1128
(213) 742-1574
Mailing address
403 WEST ADAMS BLVD, LOS ANGELES, CA 90007
(213) 742-1128
(213) 742-1574
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY47104
CA
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995585
PK
—
05
—
PHA471040
—
CA
Enumeration date
11/28/2005
Last updated
01/23/2023
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