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Organization
UCLA MED CTR PHARMACEUTICAL TECHNOLOGY
Active
Organization
UCLA MED CTR PHARMACEUTICAL TECHNOLOGY
Active
Parent organization
RONALD REAGAN UCLA MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
RONALD REAGAN UCLA MEDICAL CENTER
Authorized official
DR. DIANE JEAN ZALBA PHARM.D. (DIRECTOR, PHARMACEUTICAL SERVICES)
(310) 825-7101
Entity
Organization
Contact information
Practice address
1010 VETERAN AVE, LOS ANGELES, CA 90095-0001
(310) 825-5057
Mailing address
1010 VETERAN AVE, LOS ANGELES, CA 90095-0001
(310) 825-5057
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHE45579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHE45579
STATE LICENSE NUMBER
CA
Enumeration date
02/11/2008
Last updated
03/07/2023
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