Organization
UNITED PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARID RAPHAEL POURMORADY RPH (PRESIDENT)
(310) 247-0247
Entity
Organization
Contact information
Practice address
1129 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1403
(310) 247-0247
(310) 247-0248
Mailing address
1129 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1403
(310) 247-0247
(310) 247-0248
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY46362
CA
3336L0003X
Long Term Care Pharmacy
PHY 46362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA463620
—
CA
Enumeration date
11/04/2006
Last updated
10/10/2013
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