Organization
CENTRAL COMMUNITY PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSAMA (SAM) M. SHOKAIR R.PH. (CEO, PHARMACIST IN CHARGE, OWNER)
(323) 846-1800
Entity
Organization
Contact information
Practice address
2701 S CENTRAL AVE, LOS ANGELES, CA 90011-5527
(323) 846-1800
(323) 846-1866
Mailing address
2701 S CENTRAL AVE, LOS ANGELES, CA 90011-5527
(323) 846-1800
(323) 846-1866
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY 47177
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA471770
—
CA
Enumeration date
01/26/2007
Last updated
08/22/2020
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