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Organization
CAREQUEST PHARMACY
Active
Organization
CAREQUEST PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FARAMARZ GANJIAN PHARMACIST (PRESIDENT)
(310) 849-9535
Entity
Organization
Contact information
Practice address
6901 CANBY AVE STE 108, RESEDA, CA 91335-4391
(310) 849-9535
Mailing address
6901 CANBY AVE STE 108, RESEDA, CA 91335-4391
(310) 849-9535
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
PHY 50419
CA
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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