Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BESHOY ISAAC GERGES PHARMD (PHARMACIST)
(818) 309-6342
Entity
Organization
Contact information
Practice address
10465 SUNLAND BLVD, SUNLAND, CA 91040-1905
(818) 352-4129
Mailing address
16820 BLACKHAWK ST, GRANADA HILLS, CA 91344-7301
(818) 309-6342
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
73225
CA
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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