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TRUE VINE PHARMACY INC NPI 1316390552


NPI Information

NPI: 1316390552
Provider Name: TRUE VINE PHARMACY INC

Doing Business As: CAL MED PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1598 LONG BEACH BLVD
STE 102
LONG BEACH, CA
ZIP 90813
Phone: (562) 513-3012
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TRUE VINE PHARMACY INC is a community/retail pharmacy pharmacy in Long Beach, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. TRUE VINE PHARMACY INC NPI is 1316390552. The provider is registered as an organization entity type.
The provider Is Doing Business As Cal Med Pharmacy.

The provider's business location address is:

1598 LONG BEACH BLVD
STE 102
LONG BEACH, CA
ZIP 90813-384
Phone: (562) 513-3012
Fax: (562) 513-3011

The provider's authorized official is Mikel Abdelnour Abdelmessih .
The authorized official title is President/ceo/cfo/secretary/directo and has the following contact phone number (562) 513-3012.

The enumeration date for this NPI number is 7/22/2016 and was last updated on 12/20/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail PharmacyPHY54479CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12160946OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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