Provider Demographics
NPI:1063963312
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:RPH
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:562-806-8394
Mailing Address - Fax:562-806-8394
Practice Address - Street 1:7037 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-3648
Practice Address - Country:US
Practice Address - Phone:323-773-1261
Practice Address - Fax:323-773-1285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
CA543923336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA59229OtherPHY
CA1063963312Medicaid
CA5661536OtherNCPDP