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Organization
GJPL, INC.
Active
Organization
GJPL, INC.
Active
Other names
SAINT JOHNS MEDICAL PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARNAZ MAHDAVI MAVADAT RPH (PHARMACIST)
(310) 453-6553
Entity
Organization
Contact information
Practice address
1301 20TH ST, SUITE 120, SANTA MONICA, CA 90404-2050
(310) 453-6553
(310) 828-5645
Mailing address
1301 20TH ST, SUITE #120, SANTA MONICA, CA 90404-2050
(310) 453-6553
(310) 828-5645
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42814
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5364760007
—
CA
Enumeration date
10/04/2005
Last updated
08/22/2020
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