Organization
THE DIENNET PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCEL DIENNET M.D. (OWNER)
13102773436
Entity
Organization
Contact information
Practice address
9454 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2931
(131) 027-7343
Mailing address
9454 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2931
(131) 027-7343
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
44310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
44310
CA BOARD OF PHARMACY LIC#
CA
Enumeration date
12/07/2011
Last updated
03/07/2023
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