Organization
RITE AID PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRUTIKA V. GUJARATHI B. PHARM (REGISTERED PHARMACIST)
(818) 704-7671
Entity
Organization
Contact information
Practice address
8230 TOPANGA CANYON BLVD, CANOGA PARK, CA 91304-3840
(818) 348-5126
Mailing address
6530 INDEPENDENCE AVE APT 210, CANOGA PARK, CA 91303-2984
(818) 704-7671
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
59544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183500000X
PHARMACIST
CA
Enumeration date
05/17/2011
Last updated
05/17/2011
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