Organization
LA CRESCENTA PHARMACY INC
Active
Organization
LA CRESCENTA PHARMACY INC
Active
Other names
LA CRESCENTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAUSHIK PATEL (PRES)
(818) 248-5851
Entity
Organization
Contact information
Practice address
2764 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3517
(818) 248-5851
(818) 248-6292
Mailing address
2764 FOOTHILL BLVD, LA CRESCENTA, CA 91214-3517
(818) 248-5851
(818) 248-6292
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY44963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528142643
—
CA
01
—
1996846
PK
—
Enumeration date
10/25/2006
Last updated
09/19/2025
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