Organization
INNOVA RX INC.
Active
Other names
Cedarmak Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK BAGHERI (CEO/OWNER)
(424) 303-7860
Entity
Organization
Contact information
Practice address
8737 BEVERLY BLVD STE 102, WEST HOLLYWOOD, CA 90048-1835
(424) 303-7860
(424) 303-7854
Mailing address
8737 BEVERLY BLVD STE 102, WEST HOLLYWOOD, CA 90048-1835
(424) 303-7860
(424) 303-7854
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
56074
CA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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