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Organization
WEST KNOLL PHARMACY INC
Active
Organization
WEST KNOLL PHARMACY INC
Active
Other names
WEST KNOLL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIR WERTHEIM RPH (PRESIDENT)
(310) 657-2027
Entity
Organization
Contact information
Practice address
8547 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4120
(310) 657-2027
(310) 657-4035
Mailing address
PO BOX 69559, WEST HOLLYWOOD, CA 90069-0559
(310) 657-2027
(310) 657-4035
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1995671
PK
—
05
—
PHA442910
—
CA
Enumeration date
07/22/2006
Last updated
12/18/2016
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