Organization
M A N NAZARETH INC
Active
Other names
Tower Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL NAZARIAN (PRESIDENT)
(818) 848-0220
Entity
Organization
Contact information
Practice address
350 S GLENOAKS BLVD, BURBANK, CA 91502-1318
(818) 848-0220
(818) 848-0221
Mailing address
350 S GLENOAKS BLVD, BURBANK, CA 91502-1318
(818) 848-0220
(818) 848-0221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53607
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154138
PK
—
Enumeration date
08/05/2015
Last updated
11/18/2015
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