Organization
LOUISE PHARMACY INC
Active
Other names
LOUISE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN M HAMADANI RPH (PRESIDENT/ PIC)
(818) 387-8144
Entity
Organization
Contact information
Practice address
17255B VENTURA BLVD, ENCINO, CA 91316-4007
(818) 387-8144
(818) 387-8401
Mailing address
17255B VENTURA BLVD, ENCINO, CA 91316-4007
(818) 387-8144
(818) 387-8401
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50258
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50258
CA
3336C0004X
Compounding Pharmacy
PHY 50258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-37876
NCPDP PROVIDER NUMBER
CA
01
—
PHY 50258
RETAIL PHARMACY PERMIT
CA
Enumeration date
05/10/2010
Last updated
03/07/2023
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