Organization
PHARMACY HOMECARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA PILDERVASER (CEO)
(818) 755-9081
Entity
Organization
Contact information
Practice address
12454 OXNARD ST, NORTH HOLLYWOOD, CA 91606-4510
(818) 755-9081
(818) 755-9301
Mailing address
12454 OXNARD ST, NORTH HOLLYWOOD, CA 91606-4510
(818) 755-9081
(818) 755-9301
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY40753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA407530
—
CA
Enumeration date
05/31/2005
Last updated
08/22/2020
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