Organization
CALIFORNIA RX NETWORK
Active
Other names
GLENOAKS RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SHALTS PHARM D (PRESIDENT/PIC)
(818) 846-9011
Entity
Organization
Contact information
Practice address
303 S GLENOAKS BLVD, STE 16, BURBANK, CA 91502-1319
(818) 846-9011
(818) 845-5342
Mailing address
303 S GLENOAKS BLVD, STE 16, BURBANK, CA 91502-1319
(818) 846-9011
(818) 845-5342
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5629386
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY51602
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
02/21/2007
Last updated
10/09/2013
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