Organization
LITTLE CO PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUNAVER H BHOLAT PHARM.D. (PHARMACY DIRECTOR)
(310) 303-5728
Entity
Organization
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 303-5722
Mailing address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 303-5722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
HSP44501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHB154660
—
CA
Enumeration date
08/25/2005
Last updated
08/22/2020
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