Organization
BEVERYL HILLS PHARMACY CORP
Active
Other names
BEVERLY HILLS PHARMACY AND GIFT SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK NASSIR (PHARMACIST)
(310) 652-3784
Entity
Organization
Contact information
Practice address
8500 WILSHIRE BLVD, STE 101, BEVERLY HILLS, CA 90211-3121
(310) 652-3784
(310) 652-3782
Mailing address
8500 WILSHIRE BLVD, STE 101, BEVERLY HILLS, CA 90211-3121
(310) 652-3784
(310) 652-3782
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45834
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003038
PK
—
05
—
PHA458340
—
CA
Enumeration date
12/13/2006
Last updated
06/21/2016
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