Organization
RALPHS GROCERY COMPANY
Active
Other names
FOOD4LESS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA TRUSTER (PHARMACY ECOMMERCE MANAGER)
(513) 387-7113
Entity
Organization
Contact information
Practice address
5420 W SUNSET BLVD, LOS ANGELES, CA 90027-5614
(323) 460-4204
(323) 460-4231
Mailing address
5420 SUNSET BLVD, HOLLYWOOD, CA 90027-5614
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5600893
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA465500
—
CA
Enumeration date
12/01/2006
Last updated
02/09/2009
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