Provider Demographics
NPI:1538250519
Name:THE MEDICINE CABINET, INC
Entity type:Organization
Organization Name:THE MEDICINE CABINET, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASH
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-806-8394
Mailing Address - Street 1:9901 PARAMOUNT BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-3852
Mailing Address - Country:US
Mailing Address - Phone:628-068-3945
Mailing Address - Fax:562-776-2257
Practice Address - Street 1:7119 RITA AVE STE G
Practice Address - Street 2:
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4786
Practice Address - Country:US
Practice Address - Phone:323-581-9106
Practice Address - Fax:323-581-9108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336C0003X
CAPHY 44599333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0547604OtherNCPDP
CA1538250519OtherMEDICAID
CA57992OtherPHY