Organization
CVS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARTIN DEMBEKJAN PHARM D (SUPERVISOR)
(401) 216-0086
Entity
Organization
Contact information
Practice address
222 N MARKET ST, INGLEWOOD, CA 90301-1217
(310) 671-0441
Mailing address
12415 RIVES AVE, DOWNEY, CA 90242-3454
(562) 253-3905
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
RPH 47630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CODE 18
—
CA
Enumeration date
06/07/2016
Last updated
06/07/2016
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