Organization
MAXSONS PHARMACY INC
Active
Other names
MAXSONS DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIS HERZ (OWNER AND PHARMACIST)
(818) 789-0301
Entity
Organization
Contact information
Practice address
14070 VENTURA BLVD, SHERMAN OAKS, CA 91423-3542
(818) 789-0301
(818) 789-2711
Mailing address
14070 VENTURA BLVD, SHERMAN OAKS, CA 91423-3542
(818) 789-0301
(818) 789-2711
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115868
PK
—
05
—
PHA392290
—
CA
Enumeration date
08/24/2006
Last updated
07/22/2016
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