Organization
FUSION IV PHARMACEUTICALS INC.
Active
Other names
Axia Pharmaceutical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVID VAHEDI PHARM D (OWNER/PRESIDENT)
(877) 685-8222
Entity
Organization
Contact information
Practice address
1990 WESTWOOD BLVD # 135, LOS ANGELES, CA 90025-4650
(877) 685-8222
(866) 711-3106
Mailing address
1990 WESTWOOD BLVD # 135, LOS ANGELES, CA 90025-4650
(877) 685-8222
(866) 711-3106
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
PHY53726
CA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
LSC100855
CA
Other
Enumeration date
05/13/2015
Last updated
04/20/2017
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