| Organization Name: | PACE HEALTHCARE DISTRIBUTORS INC |
| NPI Number: | 1669417085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHARIFAT LAWAL (CEO) |
| Mailing Address: | 14909 Crenshaw Blvd Suite 110 Gardena |
| State: | CA US |
| Postal Code: | 902493665 |
| Phone Number: | 3109731180 |
| Fax Number: | 3109731445 |
| NPI Enumeration Date: | 06/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332B00000X |
| License Number: | 5471480001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |