Provider Demographics
NPI:1689348369
Name:TORRANCE PHARMACY LTC INC
Entity Type:Organization
Organization Name:TORRANCE PHARMACY LTC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:MR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:TABATABAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-250-1702
Mailing Address - Street 1:23600 TELO AVE STE 160
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4035
Mailing Address - Country:US
Mailing Address - Phone:424-250-1702
Mailing Address - Fax:424-250-1702
Practice Address - Street 1:23600 TELO AVE STE 160
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4035
Practice Address - Country:US
Practice Address - Phone:424-250-1702
Practice Address - Fax:424-250-1702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy