Brentwood Plaza Pharmacy

Community/Retail Pharmacy Accepts Medicare


  
  11980 San Vicente Blvd, Ste 104, Los Angeles
California, 90049-5012

 310-820-1496    310-820-4186
Brentwood Plaza Pharmacy is a Community/Retail Pharmacy in Los Angeles, California. This pharmacy is owned and operated by Colfax Pharmaceutical Inc. It is located at 11980 San Vicente Blvd, Ste 104, Los Angeles and it's customer support contact number is 310-820-1496. The authorized person of Brentwood Plaza Pharmacy is Ben Tehrani, PHARM. D who is Ceo/pic of the pharmacy and his contact number is 310-820-1496. Active license number of Brentwood Plaza Pharmacy is 51494 for Community/Retail Pharmacy in California. Brentwood Plaza Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Brentwood Plaza Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Pharmacy Details:
Brentwood Plaza Pharmacy 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: Brentwood Plaza Pharmacy
Type: Community/Retail Pharmacy
Location:11980 San Vicente Blvd, Ste 104, Los Angeles,
California, 90049-5012
Phone:310-820-1496
Fax:310-820-4186
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: Ben Tehrani
Credentials: PHARM. D
Position: Ceo/pic
Contact Number: 310-820-1496
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: 1336247360
NPI Enumeration Date: 21 Sep, 2006
NPI Last Update On: 28 Apr, 2017

Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brentwood Plaza Pharmacy are as mentioned below.
SpecializationLicense NumberStateStatus
Community/Retail Pharmacy 51494CaliforniaPrimary
Durable Medical Equipment & Medical Supplies Secondary
Pharmacy Secondary
Specialty Pharmacy Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1336247360MedicaidCalifornia
2141894OtherPk
Medicare Enrollment:
Brentwood Plaza Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID: Enrollment ID: Org NameMedicare Entity Type
4587956008O20160701001092Colfax Pharmaceutical IncDME SUPPLIER - PHARMACY
4587956008O20161110002207Colfax Pharmaceutical IncPART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
Products Available:
Brentwood Plaza Pharmacy has following products available for sale under medicare.
    Products
  • Blood Glucose Monitors & Supplies: Non-mail Order
  • Canes & Crutches
  • Enteral Nutrients
  • Nebulizer Equipment & Supplies
  • Business Mailing Address:
    Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
    Address: 11980 San Vicente Blvd, Ste 104
    Los Angeles, California
    Zip: 90049-5012
    Phone Number: 310-820-1496
    Fax Number: 310-820-4186
    Patients can reach Brentwood Plaza Pharmacy at 11980 San Vicente Blvd, Ste 104, Los Angeles, California or can call on customer care at 310-820-1496.

    Comments/ Reviews:


    *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.

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