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Organization
VAN NUYS RX INC
Active
Organization
VAN NUYS RX INC
Active
Other names
VAN NUYS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX GOLDMEN (PRESIDENT/OWNER)
(818) 739-9507
Entity
Organization
Contact information
Practice address
6365 VAN NUYS BLVD, STE A, VAN NUYS, CA 91401-2639
(818) 739-9507
(818) 988-2003
Mailing address
16000 VENTURA BLVD, STE 760, ENCINO, CA 91436-2744
(818) 739-9507
(818) 988-2003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 52545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-53553
NCPDP PROVIDER NUMBER
CA
Enumeration date
12/19/2014
Last updated
10/28/2016
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