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Revivex Healthcare Inc
Non-Pharmacy Dispensing Site in Torrance, California
NPI 1083087613

Revivex Healthcare Inc is a Non-Pharmacy Dispensing Site based in Torrance, CA. Revivex Healthcare Inc practices in Torrance, CA. The NPI Number for Revivex Healthcare Inc is 1083087613 and holds a License No. A109016 (California).

The current practice location address for Revivex Healthcare Inc is 23150 Crenshaw Blvd Ste 100, Torrance, CA and can be reached out via phone at 310-437-7399 and via fax at 888-431-8819.

Location: 23150 Crenshaw Blvd Ste 100, Torrance, CA, 90505-3025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083087613
Provider Name
Revivex Healthcare Inc
Credential
Provider Entity Type
Organization
Address
23150 Crenshaw Blvd Ste 100, Torrance, CA, 90505-3025
Phone Number
310-437-7399
Fax Number
888-431-8819
Provider Enumeration Date
11/04/2015
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2155100 01 PK
institution
Provider Business Practice Location Address Details
Address
23150 Crenshaw Blvd Ste 100
City
Torrance
State
California
Zip
90505-3025
Phone Number
310-437-7399
Fax Number
888-431-8819
person
Provider Business Mailing Address Details
Address
23150 Crenshaw Blvd Ste 100
City
Torrance
State
California
Zip
90505-3025
Phone Number
310-437-7399
Fax Number
888-431-8819
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
A109016 ()
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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