Organization
GSL PHARMACY INC
Active
Other names
PLAZA WEST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
YELENA GOLDIN RPH (OWNER/CEO)
(310) 645-6422
Entity
Organization
Contact information
Practice address
8540 S SEPULVEDA BLVD, SUITE 102, LOS ANGELES, CA 90045-3807
(310) 645-6422
(310) 645-9570
Mailing address
8540 S SEPULVEDA BLVD, SUITE 102, LOS ANGELES, CA 90045-3807
(310) 645-6422
(310) 645-9570
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130811
PK
—
05
—
PHA506440
—
CA
Enumeration date
06/22/2011
Last updated
06/16/2016
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