Organization
AHAVA PHARMACY INC
Active
Other names
Ahava Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ASHKAN GHOULIAN MOGHADAM PHARM D (PRESIDENT/CEO/CFO/SECRETARY/DIRECTO)
(310) 299-8079
Entity
Organization
Contact information
Practice address
8835 W PICO BLVD, LOS ANGELES, CA 90035-3301
(310) 299-8079
Mailing address
8835 W PICO BLVD, LOS ANGELES, CA 90035-3301
(310) 299-8079
(310) 299-8078
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
07/12/2022
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