Organization
CENTURY PHARMACY INC
Active
Other names
Century Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH AMIN (OWNER, CEO, AO)
(310) 473-1568
Entity
Organization
Contact information
Practice address
11870 SANTA MONICA BLVD STE 108, LOS ANGELES, CA 90025-2280
(310) 473-1568
(310) 820-4451
Mailing address
11870 SANTA MONICA BLVD STE 108, LOS ANGELES, CA 90025-2280
(310) 473-1568
(310) 820-4451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY34252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156056
PK
—
05
—
342520
—
CA
Enumeration date
12/29/2015
Last updated
04/14/2016
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