Organization
EMERSON PHARMACY, INC
Active
Other names
Loyola Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOE KOHAN (TREASURY)
(310) 780-2844
Entity
Organization
Contact information
Practice address
8400 LINCOLN BLVD, LOS ANGELES, CA 90045-2416
(310) 670-3829
(877) 847-9589
Mailing address
8400 LINCOLN BLVD, LOS ANGELES, CA 90045-2416
(310) 670-3829
(877) 847-9589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY48754
CA
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5645467
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/09/2012
Last updated
10/09/2012
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