Organization
OLIVE BRANCH PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDDA ALHOUSSAYNI PHARM.D. (PRESIDENT)
(213) 536-4888
Entity
Organization
Contact information
Practice address
2070 S CENTRAL AVE, LOS ANGELES, CA 90011-1235
(213) 536-4888
Mailing address
2070 S CENTRAL AVE, LOS ANGELES, CA 90011-1235
(213) 536-4888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
50246
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255643995
—
CA
Enumeration date
07/10/2010
Last updated
02/26/2013
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