Organization
MIA PHARMACY INC
Active
Other names
West Valley Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MIHWA BANG RPH (OWNER,PIC,AO)
(818) 222-9877
Entity
Organization
Contact information
Practice address
22554 VENTURA BLVD, WOODLAND HILLS, CA 91364-1413
(818) 222-9877
(818) 222-7389
Mailing address
22554 VENTURA BLVD, #100, WOODLAND HILLS, CA 91364-1413
(818) 222-9877
(818) 222-7389
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
51732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151452
PK
—
Enumeration date
04/08/2015
Last updated
02/21/2017
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