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Organization
PLAZA WEST PHARMACY
Active
Organization
PLAZA WEST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDR ROTMANSKY (PARTNER)
(310) 645-6422
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD STE 102, LOS ANGELES, CA 90045-3810
(310) 645-6422
(310) 645-9570
Mailing address
8540 S SEPULVEDA BLVD STE 102, LOS ANGELES, CA 90045-3810
(310) 645-6422
(310) 645-9570
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHY41043
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA410430
—
CA
Enumeration date
02/02/2007
Last updated
01/10/2008
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