Organization
PURESOURCE ADVANCED INC
Active
Other names
MISSION HILLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA LUSKIN (OWNER)
(818) 639-0108
Entity
Organization
Contact information
Practice address
10630 SEPULVEDA BLVD, STE 101, MISSION HILLS, CA 91345-1938
(818) 639-0108
(818) 639-0118
Mailing address
10630 SEPULVEDA BLVD, STE 101, MISSION HILLS, CA 91345-1938
(818) 639-0108
(818) 639-0118
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
55664
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
07/12/2022
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