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Organization

RALPHS GROCERY COMPANY

Active
Other names
FOOD4LESS PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA TRUSTER (PHARMACY ECOMMERCE MANAGER)
(513) 387-7113
Entity
Organization

Contact information

Practice address
9635 LAUREL CYN BLVD, PACOIMA, CA 91331
(818) 896-1874
(818) 896-2355
Mailing address
9365 LAUREL CANYON BLVD, PACOIMA, CA 91331

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY44543
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0537071
NCPDP PROVIDER IDENTIFICATION NUMBER
05
PHA445430
CA
Enumeration date
12/01/2006
Last updated
02/09/2009
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