Organization
GARDENA HOSPITAL LP
Active
Other names
MEMORIAL HOSPITAL OF GARDENA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN POPKIN (CHIEF EXECUTIVE OFFICER)
(310) 532-4200
Entity
Organization
Contact information
Practice address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 532-4200
(310) 512-6123
Mailing address
1145 W REDONDO BEACH BLVD, GARDENA, CA 90247-3511
(310) 532-4200
(310) 512-6123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
HSP49929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998733
PK
—
05
—
HSC30468I
—
CA
05
—
PHB463690
—
CA
Enumeration date
07/19/2006
Last updated
09/13/2016
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