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Organization
VENICE PHARMACY INC
Active
Organization
VENICE PHARMACY INC
Active
Other names
VENICE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PARNAZ FARNAD (PIC)
(310) 502-2503
Entity
Organization
Contact information
Practice address
1511 S VERMONT AVE # 1, LOS ANGELES, CA 90006-4505
(213) 381-6087
(213) 381-6085
Mailing address
1511 S VERMONT AVE # 1, LOS ANGELES, CA 90006-4505
(213) 381-6087
(213) 381-6085
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5628384
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/11/2007
Last updated
09/02/2021
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