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Organization
WILSHIRE WESTGATE PHARMACY
Active
Organization
WILSHIRE WESTGATE PHARMACY
Active
Other names
WILSHIRE WESTGATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARVIN GOLDFARB (OWNER AND PHARMACIST)
(310) 477-8527
Entity
Organization
Contact information
Practice address
11860 WILSHIRE BLVD, SUITE 101, LOS ANGELES, CA 90025-6613
(310) 477-8527
(310) 473-0910
Mailing address
11860 WILSHIRE BLVD, LOS ANGELES, CA 90025-6613
(310) 477-8527
(310) 473-0910
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000292
PK
—
05
—
PHA414660
—
CA
Enumeration date
09/30/2006
Last updated
02/20/2017
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