Organization
RALPHS GROCERY COMPANY
Active
Other names
RALPHS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA LANGWORTHY (MANAGER OF PHARMACY CREDENTIALING)
(513) 698-1878
Entity
Organization
Contact information
Practice address
1100 PACIFIC COAST HWY, HERMOSA BEACH, CA 90254-3951
(310) 374-2435
(310) 374-9586
Mailing address
1100 W ARTESIA BLVD, COMPTON, CA 90220-5108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46373
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999188
PK
—
05
—
PHA461610
—
CA
05
—
PHA463730
—
CA
Enumeration date
07/13/2006
Last updated
04/07/2014
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