Organization
ND RX INC
Active
Other names
PARKSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NASTARAN DANYALYAN PHARMD (PRESIDENT/CEO/CFO/SECRETARY/DIRECTO)
(310) 453-7843
Entity
Organization
Contact information
Practice address
2428 SANTA MONICA BLVD, SUITE 101, SANTA MONICA, CA 90404-2045
(310) 453-7843
(310) 829-5902
Mailing address
2428 SANTA MONICA BLVD, SUITE 101, SANTA MONICA, CA 90404-2045
(310) 453-7843
(310) 829-5902
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY41698
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998434
PK
—
Enumeration date
09/02/2005
Last updated
01/22/2024
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