Provider Demographics
NPI:1457674426
Name:BBK GLOBAL CORP
Entity Type:Organization
Organization Name:BBK GLOBAL CORP
Other - Org Name:ALLURE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PHARMACIST IN CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:BEHDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KADKHODA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:310-826-1111
Mailing Address - Street 1:11670 SAN VICENTE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-5121
Mailing Address - Country:US
Mailing Address - Phone:310-826-1111
Mailing Address - Fax:310-826-1115
Practice Address - Street 1:11670 SAN VICENTE BLVD STE A
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-5127
Practice Address - Country:US
Practice Address - Phone:310-826-1111
Practice Address - Fax:310-826-1115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-05
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0004X
CA501923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2124012OtherPK
CA145767442601Medicaid