Provider Demographics
NPI:1508140955
Name:COUNTY OF LOS ANGELES, PUBLIC HEALTH PHARMACY DEPARTMENT
Entity Type:Organization
Organization Name:COUNTY OF LOS ANGELES, PUBLIC HEALTH PHARMACY DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HANCZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:213-250-8616
Mailing Address - Street 1:241 N FIGUEROA ST
Mailing Address - Street 2:ROOM B-9
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-2601
Mailing Address - Country:US
Mailing Address - Phone:213-250-8616
Mailing Address - Fax:213-977-0423
Practice Address - Street 1:241 N FIGUEROA ST
Practice Address - Street 2:ROOM B-9
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012-2601
Practice Address - Country:US
Practice Address - Phone:213-250-8616
Practice Address - Fax:213-977-0423
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LOS ANGELES, PUBLIC HEALTH DEPARTMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251K00000X
CA502603336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No251K00000XAgenciesPublic Health or Welfare