Organization
SHALOM RX INC
Active
Organization
SHALOM RX INC
Active
Other names
WESTERN TOP PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK KOHANCHI PHARM D (PRESIDENT/CEO)
(323) 450-9777
Entity
Organization
Contact information
Practice address
1082 N WESTERN AVE, LOS ANGELES, CA 90029
(323) 450-9777
(323) 450-9555
Mailing address
1082 N WESTERN AVE, LOS ANGELES, CA 90029
(323) 450-9777
(323) 450-9555
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60467
BOARD OF PHARMACY
CA
Enumeration date
01/14/2025
Last updated
01/14/2025
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