Organization
PHARMACY HOMECARE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLA PILDERVASER (PRESIDENT)
(818) 755-9081
Entity
Organization
Contact information
Practice address
12454 OXNARD ST, NORTH HOLLYWOOD, CA 91606-4510
(818) 755-9081
Mailing address
12454 OXNARD ST, NORTH HOLLYWOOD, CA 91606-4510
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336I0012X
Institutional Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
PHY46338
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0516736
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA463380
—
CA
Enumeration date
07/19/2006
Last updated
09/11/2025
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