Organization
SIMISOLA PHARMACY INC
Active
Other names
SIMISOLA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARKSON B ALABI CO (PRESIDENT/ CEO)
(310) 677-6522
Entity
Organization
Contact information
Practice address
11011 CRENSHAW BLVD, STE 102, INGLEWOOD, CA 90303-6330
(310) 677-6522
(310) 677-6562
Mailing address
11011 CRENSHAW BLVD, STE 102, INGLEWOOD, CA 90303-6330
(310) 677-6522
(310) 677-6562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHA443050
CA
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44305
CA
335E00000X
Prosthetic/Orthotic Supplier
PHA443050
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0513259
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA443050
—
CA
Enumeration date
10/04/2006
Last updated
10/19/2010
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