Organization
SANDERS PHARMACEUTICALS INC
Active
Other names
RANCHO PARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERY EGHTESADI PHARM D (SECRETARY/PHARMACIST)
(310) 475-3541
Entity
Organization
Contact information
Practice address
10587 W PICO BLVD, SUITE A, LOS ANGELES, CA 90064-2333
(310) 475-3541
(310) 474-3323
Mailing address
9711 CASHIO ST, LOS ANGELES, CA 90035-2805
(310) 475-3541
(310) 474-3323
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50485
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50485
CA
3336C0004X
Compounding Pharmacy
PHY 50485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0512295
NCPDP NUMBER
—
01
—
PHY 50485
BOARD OF PHARMACY PERMIT
CA
Enumeration date
06/30/2005
Last updated
11/29/2012
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