Organization
CENTURY BEVERLY HILLS PHARMACY INC
Active
Other names
CENTURY BEVERLY HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DAVOOD BEHDADNIA (PIC)
(310) 360-1015
Entity
Organization
Contact information
Practice address
412 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-4108
(310) 360-1015
(310) 360-0759
Mailing address
412 S SAN VICENTE BLVD, LOS ANGELES, CA 90048
(310) 360-1015
(310) 360-0759
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43361
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013008630
—
CA
01
—
1993023
PK
—
Enumeration date
09/27/2006
Last updated
07/19/2018
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