Organization
NEW HOPE PHARMACY INC
Active
Other names
Meds Direct Rx of CA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARY ROSSEL (GENERAL PARTNER)
(972) 248-1415
Entity
Organization
Contact information
Practice address
535 W 130TH ST, LOS ANGELES, CA 90061-1180
(310) 349-0600
(424) 244-3034
Mailing address
535 W 130TH ST, LOS ANGELES, CA 90061-1180
(310) 349-0600
(424) 244-3034
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 52379
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 52379
CA
3336C0004X
Compounding Pharmacy
PHY 52379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0513108
NABP
CA
01
—
1447321765
MEDI-CAL PROVIDER
CA
01
—
PHY 52379
CA BOP LICENSE
CA
Enumeration date
11/10/2006
Last updated
03/07/2023
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