Organization
JOEL FLORES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL FLORES (CERTIFIED PHARMACY TECHNICIAN)
(818) 776-1363
Entity
Organization
Contact information
Practice address
18568 VENTURA BLVD, TARZANA, CA 91356-4146
(818) 776-1363
Mailing address
18568 VENTURA BLVD, TARZANA, CA 91356-4146
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
72895
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72895
BOARD OF PHARMACY
CA
Enumeration date
11/24/2012
Last updated
11/24/2012
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