Provider Demographics
NPI:1013188382
Name:OCEANVIEW PHARMACY
Entity Type:Organization
Organization Name:OCEANVIEW PHARMACY
Other - Org Name:10TH ST MEDICAL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEMTOUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-394-5405
Mailing Address - Street 1:1450 10TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2831
Mailing Address - Country:US
Mailing Address - Phone:310-394-5405
Mailing Address - Fax:310-394-5408
Practice Address - Street 1:1450 10TH ST STE 100
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2831
Practice Address - Country:US
Practice Address - Phone:310-394-5405
Practice Address - Fax:310-394-5408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy