Organization
POULTER PHARMACIES INC
Active
Other names
MEDICINE SHOPPE
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GUINN (BILLING SPEC)
(314) 993-6000
Entity
Organization
Contact information
Practice address
11331 LA MIRADA BLVD, WHITTIER, CA 90604-2124
(562) 944-8681
(562) 944-8874
Mailing address
11331 LA MIRADA BLVD, WHITTIER, CA 90604-2124
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY34680
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0592483
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/31/2006
Last updated
09/11/2025
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