Organization
GENERAL HOME PHARMACY INC
Active
Other names
GENERAL HOME PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAMBIZ YADIDI (PRESIDENT)
(805) 777-7800
Entity
Organization
Contact information
Practice address
755 LAKEFIELD RD, STE D, WESTLAKE VILLAGE, CA 91361-2622
(805) 777-7800
(888) 414-0666
Mailing address
4607 LAKEVIEW CANYON RD, # 584, WESTLAKE VILLAGE, CA 91361-4028
(805) 777-7800
(888) 414-0666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHY45868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0585919
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/21/2006
Last updated
08/01/2011
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