Organization
PLATINUM PHARMACY INC
Active
Other names
Farmacia Superior
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM AKHAVANROOFIGAR (PRESIDENT/PIC)
(424) 335-0737
Entity
Organization
Contact information
Practice address
1175 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1403
(424) 335-0737
(424) 335-0733
Mailing address
1175 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1403
(424) 335-0737
(424) 335-0733
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
55651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2149371
PK
—
Enumeration date
12/14/2013
Last updated
05/03/2017
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