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Simisola Pharmacy Inc
Prosthetic/Orthotic Supplier in Inglewood, California
NPI 1730274903

Simisola Pharmacy Inc is a Prosthetic/Orthotic Supplier based in Inglewood, CA. Simisola Pharmacy Inc practices in Inglewood, CA. The NPI Number for Simisola Pharmacy Inc is 1730274903 and holds a License No. PHA443050 (California).

The current practice location address for Simisola Pharmacy Inc is 11011 Crenshaw Blvd, Inglewood, CA and can be reached out via phone at 310-677-6522 and via fax at 310-677-6562.

Location: 11011 Crenshaw Blvd, Inglewood, CA, 90303-6330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730274903
Provider Name
Simisola Pharmacy Inc
Credential
Provider Entity Type
Organization
Address
11011 Crenshaw Blvd, Inglewood, CA, 90303-6330
Phone Number
310-677-6522
Fax Number
310-677-6562
Provider Enumeration Date
10/04/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0513259 01 NCPDP PROVIDER IDENTIFICATION NUMBER
PHA443050 05 CA
institution
Provider Business Practice Location Address Details
Address
11011 Crenshaw Blvd
City
Inglewood
State
California
Zip
90303-6330
Phone Number
310-677-6522
Fax Number
310-677-6562
person
Provider Business Mailing Address Details
Address
11011 Crenshaw Blvd
City
Inglewood
State
California
Zip
90303-6330
Phone Number
310-677-6522
Fax Number
310-677-6562
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PHA443050 (California)
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
-
Taxonomy
333600000X
License No.
PHY44305 (California)
Definition
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 located.
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
3336C0003X
License No.
()
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 4
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
PHA443050 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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