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Organization
WHOLERX INC
Active
Organization
WHOLERX INC
Active
Other names
PORTER RANCH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOJDEH ROUHANI (OWNER)
(818) 360-1915
Entity
Organization
Contact information
Practice address
19950 RINALDI ST, SUITE 102, PORTER RANCH, CA 91326-4141
(818) 360-1915
(818) 368-4987
Mailing address
19950 RINALDI ST, SUITE 102, PORTER RANCH, CA 91326-4141
(818) 360-1915
(818) 368-4987
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538350541
—
CA
01
—
2112565
PK
—
Enumeration date
08/05/2007
Last updated
04/15/2021
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