Provider Demographics
NPI:1659386290
Name:DRUGGIST INC
Entity Type:Organization
Organization Name:DRUGGIST INC
Other - Org Name:THE DRUGGIST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-259-9244
Mailing Address - Street 1:27867 SMYTH DR
Mailing Address - Street 2:STE 101
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-6059
Mailing Address - Country:US
Mailing Address - Phone:661-294-4040
Mailing Address - Fax:661-294-4044
Practice Address - Street 1:27867 SMYTH DR
Practice Address - Street 2:STE 101
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-6059
Practice Address - Country:US
Practice Address - Phone:661-294-4040
Practice Address - Fax:661-294-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY501463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2114166OtherPK