Organization
ROSCOE PHARMACY RX INC
Active
Other names
ROSCOE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NASTARAN ESTHER KOHANCHI PHARM D (PRESIDENT/CEO)
(818) 578-0111
Entity
Organization
Contact information
Practice address
18539 ROSCOE BLVD, NORTHRIDGE, CA 91324-4632
(818) 578-0111
(818) 578-0222
Mailing address
18539 ROSCOE BLVD, NORTHRIDGE, CA 91324-4632
(818) 578-0111
(818) 578-0222
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60588
BOARDOF PHARMACY
CA
Enumeration date
03/13/2025
Last updated
03/13/2025
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