Organization
HEALTH SOURCE PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMTIN GHAVAMI PHARMACIST IN CHARGE (OWNER)
(949) 613-6495
Entity
Organization
Contact information
Practice address
7012 RESEDA BLVD., STE. A - 1, RESEDA, CA 91335-4219
(866) 447-7317
(877) 209-9150
Mailing address
7012 RESEDA BLVD., STE. A - 1, RESEDA, CA 91335-4219
(866) 447-7317
(877) 209-9150
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/15/2015
Last updated
03/01/2017
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