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Organization
WELLNESS SPECIALTY PHARMACY INC
Active
Organization
WELLNESS SPECIALTY PHARMACY INC
Active
Other names
wellness specialty pharmacy inc
Organization subpart
No
Provider details
NPI number
Authorized official
BAHAREH GOLESTANIPOUR (AUTHORIZED OFFICIAL)
(818) 854-6600
Entity
Organization
Contact information
Practice address
19944 VENTURA BLVD, WOODLAND HILLS, CA 91364-2629
(818) 854-6600
(818) 664-4204
Mailing address
19944 VENTURA BLVD, WOODLAND HILLS, CA 91364-2629
(818) 854-6600
(818) 564-4495
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58277
BOARD OF PHARMACY
CA
Enumeration date
06/06/2013
Last updated
10/18/2021
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