Artesia Pharmacy Inc
Organization Active NPI Community/Retail Pharmacy · Cerritos, CA
NPI 1033155403 · NPPES record last updated Dec 13, 2016
Key facts
- NPI
- 1033155403
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PHY41551 (CA)
- Legal business name
- ARTESIA PHARMACY INC
- Practice address
- 11090 Artesia Blvd Ste H
Cerritos, CA 90703-2545 - Phone
- (562) 468-4311
- Fax
- (562) 468-4314
- NPI assigned
- Jun 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Ronald Miller
- Title
- President Pharmacist
- Phone
- (562) 468-4311
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Artesia Pharmacy Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHY41551 | CA | Yes |
| Compounding Pharmacy | 3336C0004X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
11090 Artesia Blvd Ste H
Cerritos, CA 90703-2545
Mailing address
11090 Artesia Blvd Ste H
Cerritos, CA 90703-2545
Phone (562) 468-4311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2114155 | Other | PK |
Other names
- TRIAD COMPOUNDING PHARMACY
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All providers in Cerritos, CA · Community/Retail Pharmacy in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.