St Kerollos Pharmacy Inc
Community/Retail Pharmacy
4566 Florence Ave, Ste 9, Cudahy
California, 90201-4345
323-562-1577 323-733-5140
St Kerollos Pharmacy Inc is a Community/Retail Pharmacy in Cudahy, California. It is located at 4566 Florence Ave, Ste 9, Cudahy and it's customer support contact number is 323-562-1577. The authorized person of St Kerollos Pharmacy Inc is Bassem Henein who is Ceo of the pharmacy and his contact number is 323-562-1578. Active license number of St Kerollos Pharmacy Inc is PHY54607 for Community/Retail Pharmacy in California. St Kerollos Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
St Kerollos Pharmacy Inc 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:
St Kerollos Pharmacy Inc 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: | St Kerollos Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 4566 Florence Ave, Ste 9, Cudahy,
California, 90201-4345 |
| Phone: | 323-562-1577 |
| Fax: | 323-733-5140 |
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: | Bassem Henein |
| Position: | Ceo |
| Contact Number: | 323-562-1578 |
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: | 1992716583 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 24 Mar, 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 St Kerollos Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY54607 | California | Primary | |
| Nursing Facility Supplies | | | Secondary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
| Pharmacy | | | Secondary | |
| Long Term Care 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.
| Identifier | Type | State | Issuer |
| 1992716583 | Medicaid | California | |
| 2166511 | Other | | Pk |
Medicare Enrollment:
St Kerollos Pharmacy Inc 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 |
| 2365728623 | O20170421000387 | St Kerollos Pharmacy Inc | DME SUPPLIER - PHARMACY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4566 Florence Ave, Ste 9
Cudahy, California |
| Zip: | 90201-4345 |
| Phone Number: | 323-562-1577 |
| Fax Number: | 323-733-5140 |
Patients can reach St Kerollos Pharmacy Inc at
4566 Florence Ave, Ste 9, Cudahy, California or can
call on customer care at 323-562-1577.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.