Organization
VIPHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALEH TAHERI (PHARMACIST IN CHARGE)
(310) 927-8434
Entity
Organization
Contact information
Practice address
1558 10TH ST # B2, SANTA MONICA, CA 90401-2855
(310) 927-8434
Mailing address
832 3RD ST APT 405, SANTA MONICA, CA 90403-1156
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/15/2011
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