Organization
PLAZA PHARMACY LLC
Active
Other names
Plaza Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LEARK (MANAGER)
(805) 498-6675
Entity
Organization
Contact information
Practice address
430 E AVENIDA DE LOS ARBOLES, SUITE 103, THOUSAND OAKS, CA 91360-3003
(805) 492-2451
(805) 492-7837
Mailing address
2333 BORCHARD RD, NEWBURY PARK, CA 91320-3206
(805) 498-6675
(805) 498-8017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY-51493
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2140876
PK
—
Enumeration date
06/04/2013
Last updated
12/05/2016
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