Organization
COUNTY OF LOS ANGELES
Active
Other names
CHS - Twin Towers Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN HENDERSON (CHIEF MEDICAL OFFICER)
(213) 893-5304
Entity
Organization
Contact information
Practice address
450 BAUCHET STREET, MEDICAL SERVICES BUILDING, RM #M4137, LOS ANGELES, CA 90012-2907
(213) 893-5566
(323) 415-1299
Mailing address
1000 S. FREMONT AVE., UNIT #9, BLDG A11, GROUND FL., SUITE A11010, ALHAMBRA, CA 91803-8801
(626) 525-6076
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0513893
NCPDP PROVIDER ID
CA
Enumeration date
05/03/2007
Last updated
09/29/2023
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