Organization
DNM PHARMACY INC
Active
Other names
DNM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRY MAZUR (CEO)
(323) 634-8930
Entity
Organization
Contact information
Practice address
6221 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90048-5201
(323) 634-8930
(323) 634-8930
Mailing address
6221 WILSHIRE BLVD, STE 100, LOS ANGELES, CA 90048-5201
(323) 634-8930
(323) 634-8930
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY44399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2066023
PK
—
05
—
PHA443990
—
CA
Enumeration date
01/23/2007
Last updated
08/05/2016
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