Organization
CHRISTOPHER ANGARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENAH DADAYAN PHARMD (PHARMACY SUPERVISOR)
(714) 671-3161
Entity
Organization
Contact information
Practice address
1028 S SAN FERNANDO BLVD, BURBANK, CA 91502-1537
(818) 729-9283
Mailing address
8922 WOODLEY AVE, NORTH HILLS, CA 91343-4133
(818) 729-9283
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
62765
CA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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