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:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1611 E CESAR E CHAVEZ AVE LOS ANGELES, CA 90033 US
Tel: 323-222-0736 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | CA | PHY49279 |
N | 3336C0003X | Suppliers Pharmacy | CA | PHY 49279 |
Y | 3336L0003X | Suppliers Pharmacy | CA | PHY49279 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DEA NUMBER | FB1148154 | CA | 01 |
PHA402710/1407057474 | CA | 05 | |
NCPDP NUMBER | 05-35267 | CA | 01 |
CB276893 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin