San Judas Pharmacy is an authorized DME supplier for medicare equipments and products.
San Judas Pharmacy is a Community/Retail Pharmacy in Los Angeles, California. This pharmacy is owned and operated by Erna Inc. It is located at 2201 W Pico Blvd Ste G, Los Angeles and it's customer support contact number is 213-389-5858. The authorized person of San Judas Pharmacy is Erna Sudzhyan who is President of the pharmacy and his contact number is 213-389-5858. Active license number of San Judas Pharmacy is 50717 for Community/Retail Pharmacy in California. San Judas Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. San Judas 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:
San Judas 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:
San Judas Pharmacy
Type:
Community/Retail Pharmacy
Location:
2201 W Pico Blvd Ste G, Los Angeles, California, 90006-4837
Phone:
213-389-5858
Fax:
213-389-5800
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:
Erna Sudzhyan
Position:
President
Contact Number:
213-389-5858
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:
1750676037
NPI Enumeration Date:
14 Jun, 2011
NPI Last Update On:
24 Aug, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for San Judas Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Community/Retail Pharmacy
50717
California
Primary
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
5642500
Other
Ncpdp Provider Identification Number
Medicare Enrollment:
San Judas 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 Name
Medicare Entity Type
2961667407
O20120706000273
Erna Inc
PART B SUPPLIER - OTHER
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2201 W Pico Blvd Ste G, Los Angeles, California
Zip:
90006-4837
Phone Number:
213-389-5858
Fax Number:
213-389-5800
Patients can reach San Judas Pharmacy at 2201 W Pico Blvd Ste G, Los Angeles, California or can call on customer care at 213-389-5858.
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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