Organization
SHILOH FAMILY PHARMACY,INC.
Active
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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