Organization
ENTRACELL PHARMACY INC.
Active
Organization
ENTRACELL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KAMBIZ YADIDI (CEO / PRESIDENT)
(800) 299-9047
Entity
Organization
Contact information
Practice address
10435 SANTA MONICA BLVD, LOS ANGELES, CA 90025-6936
(800) 299-9047
(800) 677-6079
Mailing address
10435 SANTA MONICA BLVD, LOS ANGELES, CA 90025-6936
(800) 299-9047
(800) 677-6079
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51760
CA
Other
Enumeration date
10/08/2013
Last updated
02/23/2015
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