Provider Demographics
NPI:1184166738
Name:EASYCARE PHARMACY LLC
Entity type:Organization
Organization Name:EASYCARE PHARMACY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-242-8969
Mailing Address - Street 1:7320 WOODLAKE AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1468
Mailing Address - Country:US
Mailing Address - Phone:818-927-1000
Mailing Address - Fax:818-927-2000
Practice Address - Street 1:7320 WOODLAKE AVE
Practice Address - Street 2:STE 100
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1468
Practice Address - Country:US
Practice Address - Phone:818-927-1000
Practice Address - Fax:818-927-2000
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMC LYONS HOLDINGS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-14
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1184167738Medicaid
CA57574OtherCA BOARD OF PHARMACY