OrganizationActive
1631 Montana Ave Pharmacy, LLC
NPI 1881600476 · Community/Retail Pharmacy · Santa Monica, CA
Provider details
- NPI number
- 1881600476
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Eleanor Kong, Pharmacist in Charge(310) 393-0761
- License
- PHY 49018 (CA)
Specialties & taxonomies
Suppliers
Practice location
1631 Montana Ave
Santa Monica, CA 90403-1807
Phone: (310) 393-0761
Fax: (310) 395-6654
Approximate (ZIP-level) locationGet directions
Mailing address
1631 Montana Ave
Santa Monica, CA 90403-1807
Other names (DBA / former)
- Doing business as
- Regent Square Pharmacy
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2008-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.