Organization · Type 2 NPI

Turaj Tom Shafa

Community/Retail Pharmacy · West Hollywood, CA

NPI number 1114901014 Active

Practice location

8733 Beverly Blvd, Ste 100
West Hollywood, CA 90048-1890

Fax (310) 657-5455

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	PHY22051 (CA)
Compounding Pharmacy	3336C0004X	None listed

Community/Retail Pharmacy: 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 …

25 other providers at this address

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NPI record

NPI: 1114901014
Entity type: Organization (Type 2)
Issued: Dec 4, 2005
Last updated: Dec 22, 2021
Status: Active

Other names

<unavail>
Mid West Medical Pharmacy · doing business as
Mid West Medical Pharmacy · doing business as

Authorized official

Tom Shafa, RPH
Owner, Pic, Ao
(310) 657-1635

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114901014

Turaj Tom Shafa's National Provider Identifier is 1114901014, issued on Dec 4, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in West Hollywood, CA. The record was last updated on Dec 22, 2021.