Organization
ROXSAN PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHLA KEYVANFAR MELAMED PHARM.D. (PHARMACIST)
(310) 273-1644
Entity
Organization
Contact information
Practice address
465 N ROXBURY DR, BEVERLY HILLS, CA 90210-4206
(310) 273-1644
(310) 276-4152
Mailing address
465 N ROXBURY DR, BEVERLY HILLS, CA 90210-4206
(310) 273-1644
(310) 276-4152
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY38297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA382970
—
CA
Enumeration date
08/11/2005
Last updated
11/07/2007
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