Provider Demographics
NPI:1144307018
Name:EVERYTHING PHARMACY RELATED II INC
Entity type:Organization
Organization Name:EVERYTHING PHARMACY RELATED II INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ETMINAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-481-1130
Mailing Address - Street 1:1234 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-1970
Mailing Address - Country:US
Mailing Address - Phone:213-481-1130
Mailing Address - Fax:213-481-1132
Practice Address - Street 1:1234 WILSHIRE BLVD
Practice Address - Street 2:SUITE 106
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-1970
Practice Address - Country:US
Practice Address - Phone:213-481-1130
Practice Address - Fax:213-481-1132
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 3336S0011X, 3336C0004X
CAPHY532693336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336S0011XSuppliersPharmacySpecialty Pharmacy
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2001968OtherPK
CAPHA460390Medicaid
CA4282037Medicaid
CA4282037Medicaid