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Organization
DE VERA INC
Active
Organization
DE VERA INC
Active
Other names
ECOMPOUNDING PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PIERRE PELAYO NARVADES PHARMD (PRESIDENT/PHARMACIST)
(818) 610-1229
Entity
Organization
Contact information
Practice address
21250 CALIFA ST STE 109, WOODLAND HILLS, CA 91367-5031
(818) 610-1229
(818) 715-9710
Mailing address
21250 CALIFA ST, SUITE 109, WOODLAND HILLS, CA 91367-5001
(818) 610-1229
(818) 715-9710
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50194
CA
3336C0004X
Compounding Pharmacy
Primary
PHY50194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 50194
STATE BOARD OF PHARMACY
CA
Enumeration date
01/25/2010
Last updated
01/10/2013
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