Provider Demographics
NPI:1952789216
Name:VERBATIM & ASSOCIATES LLC
Entity Type:Organization
Organization Name:VERBATIM & ASSOCIATES LLC
Other - Org Name:VERBATIM RX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABBOUD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHABALLOUT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-222-4579
Mailing Address - Street 1:2210 W BEVERLY BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-2302
Mailing Address - Country:US
Mailing Address - Phone:626-275-4629
Mailing Address - Fax:
Practice Address - Street 1:2210 W BEVERLY BLVD
Practice Address - Street 2:
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-2302
Practice Address - Country:US
Practice Address - Phone:626-275-4629
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-07
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA524973336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2151055OtherPK