Provider Demographics
NPI:1720088800
Name:PRESCRIPTIONS PLUS
Entity Type:Organization
Organization Name:PRESCRIPTIONS PLUS
Other - Org Name:PX DRUGSTORE #2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LEON
Authorized Official - Last Name:PRELLER
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:818-785-0441
Mailing Address - Street 1:6312 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-2610
Mailing Address - Country:US
Mailing Address - Phone:818-785-0441
Mailing Address - Fax:818-785-1315
Practice Address - Street 1:6312 VAN NUYS BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-2610
Practice Address - Country:US
Practice Address - Phone:818-785-0441
Practice Address - Fax:818-785-1315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY39898333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PHA398980OtherMEDICAL