Provider Demographics
NPI:1942947106
Name:ALL STATES PHARMACY LLC
Entity Type:Organization
Organization Name:ALL STATES PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DESTRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SETSER
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT, DRIC
Authorized Official - Phone:818-703-3533
Mailing Address - Street 1:501 S REINO RD STE 372
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4269
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3607 OLD CONEJO RD
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-2123
Practice Address - Country:US
Practice Address - Phone:800-787-7824
Practice Address - Fax:800-626-5004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies