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Organization
RITE AID
Active
Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDOLREZA KOSSARIAN (PHARM.D.)
(818) 788-8730
Entity
Organization
Contact information
Practice address
15630 VENTURA BLVD, ENCINO, CA 91436-3141
(818) 783-2449
(818) 783-7816
Mailing address
15630 VENTURA BLVD, ENCINO, CA 91436-3141
(818) 783-2449
(818) 783-7816
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
58044
CA
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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