Organization
GLENDALE WEST DRUG COMPANY INC
Active
Other names
GLENDALE WEST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MALIKSET ALADADI (OFFICER,AO)
(818) 548-5157
Entity
Organization
Contact information
Practice address
1109 S GLENDALE AVE # AB, GLENDALE, CA 91205-5657
(818) 548-5157
(818) 548-1064
Mailing address
1109 S GLENDALE AVE # AB, GLENDALE, CA 91205-5657
(818) 548-5157
(818) 548-1064
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY43706
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991474
PK
—
05
—
PHA437060
—
CA
Enumeration date
08/20/2006
Last updated
04/11/2016
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