Organization
AVALON PHARMACY INC.
Active
Other names
avalon pharmacy inc.
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHRA MORIDZADEH ARMAGHAN (PHARMACIST)
(310) 549-9393
Entity
Organization
Contact information
Practice address
1203 N AVALON BLVD STE A, WILMINGTON, CA 90744-2646
(310) 549-9393
Mailing address
1203 N AVALON BLVD STE A, WILMINGTON, CA 90744-2646
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY47002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHA470020
MEDICAL
CA
Enumeration date
03/29/2007
Last updated
07/09/2012
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