# ENCINO CARE PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Encino Care Pharmacy II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669775847
- **Authorized official:** NIRA HARIRI PHARMD (PRESIDENT)
- **Authorized official phone:** (818) 377-9194

## Contact information

- **Practice address:** 16001 VENTURA BLVD STE 135, ENCINO, CA 91436-4490
- **Practice address phone:** (818) 789-9200
- **Practice address fax:** (818) 789-9209
- **Mailing address:** 16001 VENTURA BLVD, SUITE 135, ENCINO, CA 91436-4481
- **Mailing address phone:** (818) 789-9200
- **Mailing address fax:** (818) 789-9209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0004X | Compounding Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | 50459 | CA | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 02/22/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5639589 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |