Provider Demographics
NPI:1407187412
Name:PHARMACY FOR LESS INC
Entity Type:Organization
Organization Name:PHARMACY FOR LESS INC
Other - Org Name:PHARMACY FOR LESS, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, CFO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSTAN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:818-343-5000
Mailing Address - Street 1:6345 BALBOA BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-1510
Mailing Address - Country:US
Mailing Address - Phone:818-343-5000
Mailing Address - Fax:818-343-5060
Practice Address - Street 1:6345 BALBOA BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-1510
Practice Address - Country:US
Practice Address - Phone:818-343-5000
Practice Address - Fax:818-343-5060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2020-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY500223336L0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2125000OtherPK
5637852OtherNCPDP PROVIDER IDENTIFICATION NUMBER