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Organization
WESTSIDE PHARMACY CORPORATION
Active
Organization
WESTSIDE PHARMACY CORPORATION
Active
Other names
Westside Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
FARZAD PIROOZ (PRESIDENT)
(310) 479-0200
Entity
Organization
Contact information
Practice address
11504 SANTA MONICA BLVD, LOS ANGELES, CA 90025-3008
(310) 479-0200
(310) 479-0220
Mailing address
11504 SANTA MONICA BLVD, LOS ANGELES, CA 90025-3008
(310) 479-0200
(310) 479-0220
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50065
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790918324 01
—
CA
01
—
2121730
PK
—
Enumeration date
08/31/2009
Last updated
04/20/2017
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