Organization
THE DIENNET PHARMACY
Active
Other names
The Diennet Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AFSHIN SHAMOONI (PHARMACIST IN CHARGE)
(310) 271-3621
Entity
Organization
Contact information
Practice address
9454 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2931
(310) 271-3621
(310) 271-3708
Mailing address
9454 WILSHIRE BLVD, BEVERLY HILLS, CA 90212-2931
(310) 271-3621
(310) 271-3708
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
PHY44310
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157498
PK
—
Enumeration date
09/05/2011
Last updated
07/07/2016
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