Organization
RITE AID PHARMACY STORE# 05786
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMIR BASSILY DEIBO PHARMACIST (MANAGER)
(805) 522-2029
Entity
Organization
Contact information
Practice address
5845 E LOS ANGELES AVE, SIMI VALLEY, CA 93063-4256
(805) 522-2029
(805) 522-3278
Mailing address
5845 E LOS ANGELES AVE, N/A, SIMI VALLEY, CA 93063-4256
(805) 522-2029
(805) 522-3218
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
41197
CA
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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