Provider Demographics
NPI:1780836882
Name:FOX HILLS PHARMACY INC
Entity Type:Organization
Organization Name:FOX HILLS PHARMACY INC
Other - Org Name:MULTICARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGO
Authorized Official - Middle Name:
Authorized Official - Last Name:SOBOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-649-3774
Mailing Address - Street 1:4455 W 117TH ST
Mailing Address - Street 2:STE 101
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2241
Mailing Address - Country:US
Mailing Address - Phone:310-649-3774
Mailing Address - Fax:310-649-3720
Practice Address - Street 1:323 N PRAIRIE AVE
Practice Address - Street 2:STE 100
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4502
Practice Address - Country:US
Practice Address - Phone:310-671-7100
Practice Address - Fax:310-671-0402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA492683336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5633498OtherNCPDP PROVIDER IDENTIFICATION NUMBER