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Organization
WESTSIDE MEDICAL PHARMACY CORP
Active
Organization
WESTSIDE MEDICAL PHARMACY CORP
Active
Other names
Westside Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ALI GANDJI (PRESIDENT)
(310) 441-1200
Entity
Organization
Contact information
Practice address
1360 WESTWOOD BLVD STE C, LOS ANGELES, CA 90024-4919
(310) 441-1200
(310) 441-1220
Mailing address
1360 WESTWOOD BLVD, SUITE C, LOS ANGELES, CA 90024-4919
(310) 441-1200
(310) 479-0220
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51987
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153009
PK
—
Enumeration date
06/01/2015
Last updated
06/03/2016
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