Provider Demographics
NPI:1326427352
Name:RALPHS PHARMACY
Entity Type:Organization
Organization Name:RALPHS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACY CLINICAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORD
Authorized Official - Middle Name:
Authorized Official - Last Name:SARINO
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:310-884-4733
Mailing Address - Street 1:8626 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5243
Mailing Address - Country:US
Mailing Address - Phone:562-622-9238
Mailing Address - Fax:562-869-3983
Practice Address - Street 1:8626 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-5243
Practice Address - Country:US
Practice Address - Phone:562-622-9238
Practice Address - Fax:562-869-3983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49851261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service