Organization
MEDCAB INC
Active
Other names
The Medicine Cabinet #4
Organization subpart
No
Provider details
NPI number
Authorized official
ASH SOLIMAN (PRESIDENT / PHARMACIST)
(562) 806-8394
Entity
Organization
Contact information
Practice address
8001 SOMERSET BLVD, PARAMOUNT, CA 90723-4334
(562) 232-0010
(562) 232-0013
Mailing address
8001 SOMERSET BLVD, PARAMOUNT, CA 90723-4334
(562) 232-0010
(562) 232-0013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
49936
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5635404
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/05/2009
Last updated
07/19/2010
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