Organization · Type 2 NPI

Dtla RX Pharmacy Apc

Community/Retail Pharmacy · Los Angeles, CA

NPI number 1184243602 Active

Practice location

1120 S Grand Ave Ste 103
Los Angeles, CA 90015-4677

Fax (213) 745-5000

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	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 …

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NPI record

NPI: 1184243602
Entity type: Organization (Type 2)
Issued: Apr 14, 2020
Last updated: Jun 7, 2022
Status: Active

Other names

<unavail>
South Park Pharmacy · doing business as
South Park Pharmacy · doing business as

Authorized official

Rahul Kumar
CEO/sec/cfo/president/dir
(213) 745-5000

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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 1184243602

Dtla RX Pharmacy Apc's National Provider Identifier is 1184243602, issued on Apr 14, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 7, 2022.