Organization
BEN FRIEDMAN, INC
Active
Other names
Boulevard Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN FRIEDMAN R.PH (OWNER)
(818) 262-6222
Entity
Organization
Contact information
Practice address
10771 SHERMAN WAY, SUN VALLEY, CA 91352-5155
(818) 503-8806
(818) 503-8826
Mailing address
10771 SHERMAN WAY, SUN VALLEY, CA 91352-5155
(818) 503-8806
(818) 503-8826
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0572974
NABP #
CA
05
—
PHA448390
—
CA
Enumeration date
06/30/2006
Last updated
03/07/2023
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