Organization · Type 2 NPI

Olive Branch Pharmacy Inc

Pharmacy · Los Angeles, CA

NPI number 1194526558 Active

Practice location

1929 S San Pedro St
Los Angeles, CA 90011-1121

Fax (213) 677-1227

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1194526558
Entity type: Organization (Type 2)
Issued: Mar 21, 2025
Last updated: Oct 16, 2025
Status: Active
Subpart: Yes of Olive Branch Pharmacy

Other names

Olive Branch Pharmacy 3 · doing business as

Authorized official

Redda Alhoussayni, PharmD
Pharmacist In Charge
(213) 677-1230

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About NPI 1194526558

Olive Branch Pharmacy Inc's National Provider Identifier is 1194526558, issued on Mar 21, 2025. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 16, 2025.