Organization
MONTANA WELLNESS RX
Active
Other names
MONTANA WELLNESS RX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIR KHEDMATIAN PHARMACIST (PRESIDENT/PIC)
(310) 451-2828
Entity
Organization
Contact information
Practice address
1230 MONTANA AVE STE 106, SANTA MONICA, CA 90403-5986
(310) 451-2828
(310) 451-1118
Mailing address
1230 MONTANA AVE STE 106, SANTA MONICA, CA 90403-5986
(310) 451-2828
(310) 451-1118
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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