Organization
ROLLING OAKS PHARMACY INC
Active
Other names
ROLLING OAKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AMAL ZEIN RPH MHA (PRES / CEO)
(805) 557-1006
Entity
Organization
Contact information
Practice address
325 E ROLLING OAKS DR #140A, THOUSAND OAKS, CA 91361-1077
(805) 557-1006
(805) 557-1706
Mailing address
325 E ROLLING OAKS DR #140A, THOUSAND OAKS, CA 91361-1077
(805) 557-1006
(805) 557-1706
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
PHY46918
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244708 00
—
MD
05
—
1336285956
—
CA
01
—
5614424
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY46918
CALIFORNIA PHARMACY LICENSE
CA
Enumeration date
01/30/2007
Last updated
06/18/2013
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