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St Kerollos Pharmacy Inc
Long Term Care Pharmacy in Carson, California
NPI 1306344858

St Kerollos Pharmacy Inc is a Long Term Care Pharmacy based in Bell, CA and is specialized in Long Term Care Pharmacy. St Kerollos Pharmacy Inc practices in Carson, CA. The NPI Number for St Kerollos Pharmacy Inc is 1306344858 and holds a License No. (California).

The current practice location address for St Kerollos Pharmacy Inc is 111 E Carson St Ste B, Carson, CA and can be reached out via phone at 323-562-1577.

Location: 111 E Carson St Ste B, Carson, CA, 90201-4346
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306344858
Provider Name
St Kerollos Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
111 E Carson St Ste B, Carson, CA, 90201-4346
Phone Number
323-562-1577
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1306344858 05 CA
CB303409 01 MEDICARE MASS IMMUNIZATION ROSTER BILL PTAN
7591770003 01 MEDICARE DME PTAN
institution
Provider Business Practice Location Address Details
Address
111 E Carson St Ste B
City
Carson
State
California
Zip
90745-7722
Phone Number
323-562-1577
Fax Number
person
Provider Business Mailing Address Details
Address
111 E Carson St Ste B
City
Carson
State
California
Zip
90745-7722
Phone Number
323-562-1577
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
PHY55991 (California)
Definition
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 health care providers, collaborative practice, disease state management, and education classes.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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