Provider Demographics
NPI:1669487260
Name:PHARMASAVE DRUG
Entity Type:Organization
Organization Name:PHARMASAVE DRUG
Other - Org Name:PHARMASAVE DRUG
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PIC
Authorized Official - Prefix:
Authorized Official - First Name:PARVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ELIHU
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:323-655-7979
Mailing Address - Street 1:8474 W 3RD ST STE 112
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-4142
Mailing Address - Country:US
Mailing Address - Phone:323-655-7979
Mailing Address - Fax:323-655-7913
Practice Address - Street 1:8474 W 3RD ST STE 112
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-4142
Practice Address - Country:US
Practice Address - Phone:323-655-7979
Practice Address - Fax:323-655-7913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2017-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY356313336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHA356310Medicaid
2000313OtherPK
0845840001Medicare NSC