Provider Demographics
NPI:1962457713
Name:AEROSOL SCIENCE LABORATORIES INC
Entity Type:Organization
Organization Name:AEROSOL SCIENCE LABORATORIES INC
Other - Org Name:ASL PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT COMLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-777-7800
Mailing Address - Street 1:900 CALLE PLANO
Mailing Address - Street 2:STE M
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-8574
Mailing Address - Country:US
Mailing Address - Phone:805-484-2126
Mailing Address - Fax:805-484-2368
Practice Address - Street 1:900 CALLE PLANO
Practice Address - Street 2:STE M
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-8574
Practice Address - Country:US
Practice Address - Phone:805-484-2126
Practice Address - Fax:805-484-2368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2013-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY506613336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2114201OtherPK