Provider Demographics
NPI:1548342736
Name:BIOTECH PHARMACEUTICALS, INC., DBA MCKAY MONKMAN DRUG & SURGICAL CO.
Entity type:Organization
Organization Name:BIOTECH PHARMACEUTICALS, INC., DBA MCKAY MONKMAN DRUG & SURGICAL CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-235-5800
Mailing Address - Street 1:1030 W MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90037-1871
Mailing Address - Country:US
Mailing Address - Phone:323-235-5800
Mailing Address - Fax:323-235-5885
Practice Address - Street 1:1030 W MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-1871
Practice Address - Country:US
Practice Address - Phone:323-235-5800
Practice Address - Fax:323-235-5885
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIOTECH PHARMACEUTICALS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-19
Last Update Date:2009-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHA 4425403336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5573230001Medicare NSC