Organization
SEPULVEDA PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULETTE AZAD PHARM D (PHARMACIST IN CHARGE)
(310) 702-9037
Entity
Organization
Contact information
Practice address
4406 SEPULVEDA BLVD, CULVER CITY, CA 90230-4801
(310) 702-9037
Mailing address
4406 SEPULVEDA BLVD, CULVER CITY, CA 90230-4801
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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