Peticub is a Mail Order Pharmacy based in Los Angeles, CA and is specialized in Mail Order Pharmacy. Peticub practices in Los Angeles, CA. The NPI Number for Peticub is 1790049484 and holds a License No. (California).
The current practice location address for Peticub is 1804 S La Cienega Blvd # 102, Los Angeles, CA and can be reached out via phone at 310-839-7387 and via fax at 310-288-9141.
Location: 1804 S La Cienega Blvd # 102, Los Angeles, CA, 90035-4670
Provider Profile Details
NPI Number
1790049484
Provider Name
Peticub
Credential
Provider Entity Type
Organization
Address
1804 S La Cienega Blvd # 102, Los Angeles, CA, 90035-4670
Phone Number
310-839-7387
Fax Number
310-288-9141
Provider Enumeration Date
06/27/2012
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5644821 | 01 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Provider Business Practice Location Address Details
Address
1804 S La Cienega Blvd # 102
City
State
Zip
90035-4670
Phone Number
310-839-7387
Fax Number
310-288-9141
Provider Business Mailing Address Details
Address
1804 S La Cienega Blvd # 102
City
State
Zip
90035-4670
Phone Number
310-839-7387
Fax Number
310-288-9141
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
()
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.
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Community/Retail Pharmacy
Taxonomy
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.
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
License No.
()
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Mail Order Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy where pharmacists compound or dispense prescriptions or other medications in accordance with federal and state law, using common carriers to deliver the medications to patient or their caregivers. Mail order pharmacies counsel patients and caregivers (sometimes independent of the dispensing process) through telephone or email contact and provide other professional services associated with pharmaceutical care appropriate to the setting. Mail order pharmacies are licensed as a Mail Order Pharmacy in the state where they are located and may also be licensed or registered as nonresident pharmacies in other states.
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