Organization
CCRX INC
Active
Organization
CCRX INC
Active
Other names
CCRX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOHEIL ZAFARMEHR PHARM D (PRESIDENT/PHARMACIST IN CHARGE)
(213) 674-7577
Entity
Organization
Contact information
Practice address
1919 W 7TH ST UNIT M, LOS ANGELES, CA 90057
(213) 674-7577
(213) 674-7799
Mailing address
1919 W 7TH ST UNIT M, LOS ANGELES, CA 90057-4103
(213) 674-7577
(213) 674-7799
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY56149
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114217239
—
CA
01
—
56-40710
NCPDP PROVIDER NUMBER
CA
01
—
56149
STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
04/11/2011
Last updated
11/24/2021
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