Organization
CENTURY BEVERLY HILLS PHARMACY INC
Active
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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