Organization
HASENDRA SHAH
Active
Other names
Dell's Los Altos Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HASENDRA SHAH (PHARMACIST-OWNER)
(562) 597-2160
Entity
Organization
Contact information
Practice address
1777 N BELLFLOWER BLVD, #113, LONG BEACH, CA 90815-4013
(562) 597-2160
(562) 597-0648
Mailing address
1777 N BELLFLOWER BLVD, #113, LONG BEACH, CA 90815
(562) 597-2160
(562) 597-0648
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PHY40629
CA
183500000X
Pharmacist
RPH32826
CA
332B00000X
Durable Medical Equipment & Medical Supplies
0888600001
CA
332B00000X
Durable Medical Equipment & Medical Supplies
PHY406290
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY40629
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0593500
NCPDP
CA
05
—
PHA406290
—
CA
Enumeration date
10/14/2005
Last updated
06/07/2011
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