# LOS ROBLES PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOS ROBLES PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003575499
- **Authorized official:** CALEB WEILER (PRESIDENT/CEO)
- **Authorized official phone:** (805) 601-6820

## Contact information

- **Practice address:** 68 LONG CT STE 1C, THOUSAND OAKS, CA 91360-7413
- **Practice address phone:** (805) 601-6820
- **Practice address fax:** (805) 601-6830
- **Mailing address:** 68 LONG CT STE 1C, THOUSAND OAKS, CA 91360-7413
- **Mailing address phone:** (805) 601-6820
- **Mailing address fax:** (805) 601-6830

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 12/13/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY58161 | BOARD OF PHARMACY | CA |
