St Kerollos Pharmacy Inc
St Kerollos Pharmacy Inc is a Nursing Facility Supplies (DME) in Cudahy, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 6
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4566 Florence Ave Ste 9Cudahy, CA 90201-4345
Phone: (323) 562-1577
Fax: (323) 733-5140
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence PHY54607 (CA) |
|---|---|
| Nursing Facility Supplies (DME) | Taxonomy 332BN1400X |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X |
| Pharmacy | Taxonomy 333600000X |
| Long Term Care Pharmacy | Taxonomy 3336L0003X |
| Specialty Pharmacy | Taxonomy 3336S0011X |
Record details
| NPI number | 1992716583 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bassem Henein — Ceo · (323) 562-1578 |
| Other names | Juelle And Lima Pharmacy |
| NPI enumerated | August 10, 2006 |
| Last updated in NPPES | March 24, 2017 |
| Mailing address | 4566 Florence Ave, Ste 9, Cudahy, CA 90201-4345 |