Provider Demographics
NPI:1891123527
Name:THE MEDICINE CABINET INC
Entity Type:Organization
Organization Name:THE MEDICINE CABINET INC
Other - Org Name:THE MEDICINE CABINET #3
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-806-8394
Mailing Address - Street 1:9901 PARAMOUNT BLVD
Mailing Address - Street 2:STE 110
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3843
Mailing Address - Country:US
Mailing Address - Phone:562-806-8394
Mailing Address - Fax:562-776-2257
Practice Address - Street 1:3270 TWEEDY BLVD
Practice Address - Street 2:STE C
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-4372
Practice Address - Country:US
Practice Address - Phone:323-564-2056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CAPHY516423336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5649162OtherNCPDP
CA51642OtherPHY
CA1891123527Medicaid