Organization
ST. JOSEPH HEALTH SYSTEM HOME CARE SERVICES LLC
Active
Other names
PROVIDENCE HOME INFUSION LA COUNTY, PROVIDENCE INFUSION AND PHARMACY SERVICES-BURBANK
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD WAYNE ANDERSON JR. (ASSISTANT SECRETARY FOR ENROLLMENT)
(425) 358-9786
Entity
Organization
Contact information
Practice address
2703 N ONTARIO ST STE 120&130, BURBANK, CA 91504-2508
(818) 847-6558
Mailing address
2703 N ONTARIO ST STE 120&130, BURBANK, CA 91504-2508
(818) 847-6558
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Enumeration date
11/09/2020
Last updated
12/18/2025
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