Organization
WILBUR FAMILY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELLIOTT P SEIDEMAN RPH (OWNER)
(818) 342-6520
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, 100, TARZANA, CA 91356-1351
(818) 342-6520
(818) 342-6523
Mailing address
5620 WILBUR AVE, 100, TARZANA, CA 91356-1351
(818) 342-6520
(818) 342-6523
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
29380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY226840
—
CA
Enumeration date
01/23/2007
Last updated
08/24/2010
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