Organization
IDEAL RX LLC
Active
Other names
SEVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SOHEIL ZAFARMEHR PHARM D (MANAGING MEMBER)
(310) 860-9809
Entity
Organization
Contact information
Practice address
6216 SEVILLE AVE, HUNTINGTON PARK, CA 90255-2913
(310) 860-9809
(310) 860-9683
Mailing address
6216 SEVILLE AVE, HUNTINGTON PARK, CA 90255-2913
(310) 860-9809
(310) 860-9683
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58832
BOARD OF PHARMACY
CA
Enumeration date
06/26/2016
Last updated
02/24/2023
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