Organization
LOS ANGELES LGBT CENTER
Active
Other names
Jeffrey Goodman Special Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN GOLDMAN (CHIEF FINANCIAL OFFICER)
(323) 993-8948
Entity
Organization
Contact information
Practice address
1625 SCHRADER BLVD, 1ST FLOOR, LOS ANGELES, CA 90028-6213
(323) 993-7513
(323) 308-4444
Mailing address
1625 SCHRADER BLVD, 1ST FLOOR, LOS ANGELES, CA 90028-6213
(323) 993-7513
(323) 308-4444
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY-45118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-34099
NABP #
CA
05
—
PHA 45118
—
CA
Enumeration date
08/11/2006
Last updated
09/26/2024
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