Organization
ENCINO MEDICAL PHARMACY INC
Active
Other names
ENCINO MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK FATIRIAN PHARM D (PRESIDENT/PIC)
(818) 514-4020
Entity
Organization
Contact information
Practice address
17479 VENTURA BLVD, ENCINO, CA 91316-3828
(818) 514-4020
(818) 514-4025
Mailing address
17479 VENTURA BLVD, ENCINO, CA 91316-3828
(818) 514-4020
(818) 514-4025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY55951
CA
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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