Provider Demographics
NPI:1619217544
Name:JCH PHARMACY LA, INC.
Entity Type:Organization
Organization Name:JCH PHARMACY LA, INC.
Other - Org Name:EDDIE'S PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:NOEL
Authorized Official - Last Name:THORBURN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:310-358-2400
Mailing Address - Street 1:8408 BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3402
Mailing Address - Country:US
Mailing Address - Phone:310-358-2400
Mailing Address - Fax:310-358-2410
Practice Address - Street 1:8408 BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3402
Practice Address - Country:US
Practice Address - Phone:310-358-2400
Practice Address - Fax:310-358-2410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-01
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA537853336C0003X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy