Provider Demographics
NPI:1861683955
Name:DRUG AID COM INC
Entity Type:Organization
Organization Name:DRUG AID COM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:YASMEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-781-4111
Mailing Address - Street 1:7324 SEPULVEDA BLVD
Mailing Address - Street 2:STE B
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-1751
Mailing Address - Country:US
Mailing Address - Phone:866-781-4111
Mailing Address - Fax:
Practice Address - Street 1:7324 SEPULVEDA BLVD
Practice Address - Street 2:STE B
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-1751
Practice Address - Country:US
Practice Address - Phone:866-781-4111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44642333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4456810001Medicare NSC