1790049484 PETICUB

Community/Retail Pharmacy

Active

Basic Information

Organization Name
PETICUB
Enumeration Date
June 27, 2012
Last Update
August 21, 2012
Authorized Official
RABIN SHAOULIAN
LOCATION MANAGER
Phone: (310) 839-7387

Practice Location

Address
1804 S LA CIENEGA BLVD # 102
LOS ANGELES, CA 900354670
Phone
(310) 839-7387
Fax
(310) 288-9141

Mailing Address

Address
1804 S LA CIENEGA BLVD # 102
LOS ANGELES, CA 900354670
Phone
(310) 839-7387
Fax
(310) 288-9141

Specialties & Taxonomies

Specialty Code Classification License State Primary
Mail Order Pharmacy
Mail Order Pharmacy
3336M0002X Pharmacy N/A N/A No
Home Infusion Therapy Pharmacy
Home Infusion Therapy Pharmacy
3336H0001X Pharmacy N/A N/A No
Compounding Pharmacy
Compounding Pharmacy
3336C0004X Pharmacy N/A N/A No
Pharmacy
333600000X Pharmacy N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
5644821 01 N/A NCPDP PROVIDER IDENTIFICATION NUMBER

Frequently Asked Questions

What is PETICUB's NPI number?
PETICUB's NPI number is 1790049484.
Which doctor has NPI number 1790049484?
The doctor with NPI number 1790049484 is PETICUB.
What is PETICUB's practice address?
PETICUB's practice address is 1804 S LA CIENEGA BLVD # 102, LOS ANGELES, CA, 900354670.
Which doctor practices at 1804 S LA CIENEGA BLVD # 102, LOS ANGELES, CA, 900354670?
PETICUB practices at 1804 S LA CIENEGA BLVD # 102, LOS ANGELES, CA, 900354670.
What is PETICUB's phone number?
PETICUB's phone number is (310) 839-7387.
Who is (310) 839-7387?
(310) 839-7387 is the phone number for PETICUB.
What is PETICUB's specialty?
PETICUB's specialty is Community/Retail Pharmacy.
What type of doctor is PETICUB?
PETICUB is a Community/Retail Pharmacy.
Is PETICUB a Community/Retail Pharmacy?
Yes, PETICUB is a Community/Retail Pharmacy.
Is PETICUB still practicing?
Yes, PETICUB is currently practicing.
Is PETICUB accepting new patients?
PETICUB may be accepting new patients. Please call their office at (310) 839-7387 to inquire about availability.
Is NPI 1790049484 still active?
Yes, NPI 1790049484 is currently active.
Where does PETICUB practice?
PETICUB practices in LOS ANGELES, CA.