Organization
OLIVE TREE PHARMACY INC
Active
Other names
Olive Tree Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ZEN (OWNER / PIC)
(818) 364-5100
Entity
Organization
Contact information
Practice address
14124 FOOTHILL BLVD STE 102, SYLMAR, CA 91342-8053
(818) 364-5100
(818) 364-5102
Mailing address
14124 FOOTHILL BLVD, STE 102, SYLMAR, CA 91342-8049
(818) 364-5100
(818) 364-5102
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY52415
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2148979
PK
—
Enumeration date
11/21/2014
Last updated
10/21/2015
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