Organization
PHARMACA PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STU GRATZ (VP PHARMACY)
(303) 867-3105
Entity
Organization
Contact information
Practice address
12025 SAN VICENTE BLVD, LOS ANGELES, CA 90049-4922
(310) 476-1237
Mailing address
12025 SAN VICENTE BLVD, LOS ANGELES, CA 90049-4922
(310) 476-1237
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
36848
CA
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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