Organization
MEDICO SPECIALTY PHARMACY INC
Active
Other names
MEDICO SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VLADIMIR LENCHITSKY PHARM D (PRESIDENT/PHARMACIST)
(818) 582-3517
Entity
Organization
Contact information
Practice address
7039 VALJEAN AVE, #B, VAN NUYS, CA 91406-3915
(818) 582-3517
(818) 453-8928
Mailing address
7039 VALJEAN AVE, #B, VAN NUYS, CA 91406-3915
(818) 582-3517
(818) 453-8928
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50778
CA
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY50778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY50778
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
01/06/2012
Last updated
01/06/2012
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