OrganizationActive
1010 Pharmacy
NPI 1093157786 · Preferred Provider Organization · Los Angeles, CA
Provider details
- NPI number
- 1093157786
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Authorized official
- Nicholas Thomas, President
- License
- 51478 (CA)
Practice location
1010 Wilshire Blvd
Suite 113
Los Angeles, CA 90017
Phone: (213) 784-9499
Fax: (213) 402-5260
Mailing address
1010 Wilshire Blvd
Los Angeles, CA 90017
Registry dates
- Enumerated
- 2013-07-23
- Last updated
- 2015-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.