Organization
SANTA MONICA HOMEOPATHIC PHY
Active
Organization
SANTA MONICA HOMEOPATHIC PHY
Active
Other names
SANTA MONICA HOMEOPATHIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAM TARLOW (PHARMACIST)
(310) 395-1131
Entity
Organization
Contact information
Practice address
629 BROADWAY, SANTA MONICA, CA 90401-2503
(310) 395-1131
(310) 395-7861
Mailing address
629 BROADWAY, SANTA MONICA, CA 90401-2503
(310) 395-1131
(310) 395-7861
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40946
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004729
PK
—
Enumeration date
08/18/2014
Last updated
08/18/2014
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