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Organization
VILLAGE DRUG & COMPOUNDING INC
Active
Organization
VILLAGE DRUG & COMPOUNDING INC
Active
Other names
Science Pharmaceutical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FARAH KOHAN (PRESIDENT)
(818) 759-7223
Entity
Organization
Contact information
Practice address
7225 FULTON AVE # H, NORTH HOLLYWOOD, CA 91605-4111
(818) 759-7223
(866) 486-3343
Mailing address
13351 RIVERSIDE DR # 323D, SHERMAN OAKS, CA 91423-2542
(818) 759-7223
(866) 486-3343
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50345
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2126167
PK
—
Enumeration date
07/29/2010
Last updated
08/26/2015
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