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BOYLE HEIGHTS RX INC

Medical Equipment Supplier Yellow Pages

Los Angeles, California

Provider NPI: 1124287024

Organization Information:
Organization Name:  BOYLE HEIGHTS RX INC


Practice Location:
1611 E CESAR E CHAVEZ AVE  LOS ANGELES, CA 90033 US
Tel: 323-222-0736  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N333600000XSuppliers
Pharmacy
CAPHY49279
N3336C0003XSuppliers
Pharmacy
CAPHY 49279
Y3336L0003XSuppliers
Pharmacy
CAPHY49279

Other Provider Identifiers:

IssuerNumberStateType
DEA NUMBERFB1148154CA01
PHA402710/1407057474CA05
NCPDP NUMBER05-35267CA01
CB276893CA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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