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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