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Organization

SHILOH FAMILY PHARMACY,INC.

Active
Other names
shiloh family pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANA ARONSON (PRESIDENT)
(323) 536-9575
Entity
Organization

Contact information

Practice address
5551 HOLLYWOOD BLVD, SPACE A, LOS ANGELES, CA 90028
(323) 536-9575
(323) 536-9576
Mailing address
5551 HOLLYWOOD BLVD, SPACE A, LOS ANGELES, CA 90028
(323) 536-9575
(323) 536-9576

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 51776
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51776
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-52112
NCPDP NUMBER
CA
01
1083609432
NPI
CA
05
1083609432
CA
01
PHY 51776
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
09/13/2005
Last updated
04/27/2017
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