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Organization

LOS ROBLES PHARMACY INC

Active
Other names
LOS ROBLES PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
CALEB WEILER (PRESIDENT/CEO)
(805) 601-6820
Entity
Organization

Contact information

Practice address
68 LONG CT STE 1C, THOUSAND OAKS, CA 91360-7413
(805) 601-6820
(805) 601-6830
Mailing address
68 LONG CT STE 1C, THOUSAND OAKS, CA 91360-7413
(805) 601-6820
(805) 601-6830

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336L0003X
Long Term Care Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY58161
BOARD OF PHARMACY
CA
Enumeration date
12/13/2021
Last updated
12/13/2021
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