# GRANCELL VILLAGE OF THE LOS ANGELES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOYCE EISENBURG KEEFER MEDICAL CENTER PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265617823
- **Authorized official:** BOB SHMAEFF MPA (DIRECTOR OF PHARMACY SERVICES)
- **Authorized official phone:** (818) 654-5521

## Contact information

- **Practice address:** 7150 TAMPA AVE, 1ST FLOOR, RESEDA, CA 91335
- **Practice address phone:** (818) 758-5017
- **Practice address fax:** (818) 774-2430
- **Mailing address:** 7150 TAMPA AVE, 1ST FLOOR, RESEDA, CA 91335-3700
- **Mailing address phone:** (818) 758-5017
- **Mailing address fax:** (818) 774-2430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | MSP48566 | CA | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 05/25/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2113017 | PK | — |