Provider Demographics
NPI:1982813895
Name:STAT CLINICAL PHARMANCY
Entity Type:Organization
Organization Name:STAT CLINICAL PHARMANCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-841-6000
Mailing Address - Street 1:269 S BEVERLY DR STE 1245
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3807
Mailing Address - Country:US
Mailing Address - Phone:310-841-6000
Mailing Address - Fax:888-693-3838
Practice Address - Street 1:269 S BEVERLY DR STE 1245
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3807
Practice Address - Country:US
Practice Address - Phone:310-841-6000
Practice Address - Fax:888-693-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty