Organization
METRO DISCOUNT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAREK EBRAHIM (OWNER)
(818) 395-6691
Entity
Organization
Contact information
Practice address
1930 WILSHIRE BLVD, STE 1934, LOS ANGELES, CA 90057-3605
(213) 484-0994
(213) 484-4116
Mailing address
1930 WILSHIRE BLVD, STE 1934, LOS ANGELES, CA 90057-3605
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0520999
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA408980
—
CA
Enumeration date
08/31/2006
Last updated
08/22/2020
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