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Organization

CROWN CARE PHARMACY INC

Active
Other names
ERX PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOHAMMAD HASSANI RPH (PRESIDENT/PIC)
(818) 230-7661
Entity
Organization

Contact information

Practice address
2829 N SAN FERNANDO RD, #211, LOS ANGELES, CA 90065-1320
(818) 230-7661
(888) 600-1160
Mailing address
2829 N SAN FERNANDO RD, #211, LOS ANGELES, CA 90065-1320
(818) 230-7661
(888) 600-1160

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50365
CA
3336C0004X
Compounding Pharmacy
Primary
PHY 50365
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY 50365
RETAIL PHARMACY PERMIT
CA
Enumeration date
08/10/2010
Last updated
08/10/2010
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