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Organization

FOOD4LESS OF SOUTHERN CALIFORNIA INC

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
1600 E WILLOW ST, SIGNAL HILL, CA 90755-1936
(562) 989-6316
(562) 988-0270
Mailing address
1600 E WILLOW ST, SIGNAL HILL, CA 90755-1936

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY45044
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0557542
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA450440
CA
Enumeration date
12/01/2006
Last updated
07/14/2009
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