Organization
LDW PC INC
Active
Other names
GARFIELD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PETER DOLEZAL (CHIEF PHCST)
(310) 274-0144
Entity
Organization
Contact information
Practice address
9400 BRIGHTON WAY, BEVERLY HILLS, CA 90210-4714
(310) 274-0144
(310) 275-5470
Mailing address
9400 BRIGHTON WAY, BEVERLY HILLS, CA 90210-4714
(310) 274-0144
(310) 275-5470
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46072
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992763
PK
—
Enumeration date
09/30/2006
Last updated
07/25/2013
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