Avita Pharmacy 1001 is not a DME supplier for medicare equipments and products.
Avita Pharmacy 1001 is a Pharmacy in Los Angeles, California. This pharmacy is owned and operated by Pharmedquest Pharmacy Services. It is located at 522 S San Pedro St, Los Angeles and it's customer support contact number is 213-443-8627. The authorized person of Avita Pharmacy 1001 is Ms. Dalila Ibarra who is Licensing & Credentialing Coordinat of the pharmacy and her contact number is 657-286-7957. Active license number of Avita Pharmacy 1001 is 51788 for Pharmacy in California. Avita Pharmacy 1001 is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Avita Pharmacy 1001 type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Avita Pharmacy 1001
Type:
Pharmacy
Location:
522 S San Pedro St, Los Angeles, California, 90013-2102
Phone:
213-443-8627
Fax:
213-627-4011
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Ms. Dalila Ibarra
Position:
Licensing & Credentialing Coordinat
Contact Number:
657-286-7957
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1891107066
NPI Enumeration Date:
22 May, 2014
NPI Last Update On:
12 Sep, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avita Pharmacy 1001 are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
51788
California
Primary
Community/Retail Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1891107066
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
10604 Coursey Blvd, Baton Rouge, Louisiana
Zip:
70816-4015
Phone Number:
657-286-7957
Fax Number:
714-599-8242
Patients can reach Avita Pharmacy 1001 at 522 S San Pedro St, Los Angeles, California or can call on customer care at 213-443-8627.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.
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