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Organization

AMANITA RX, INC.

Active
Other names
Westlake Village Pharmacy LTC
Organization subpart
No

Provider details

NPI number
Authorized official
SEEMA PATEL (CEO)
(818) 389-6381
Entity
Organization

Contact information

Practice address
1250 LA VENTA DR STE 114, WESTLAKE VILLAGE, CA 91361-3762
(805) 497-3974
Mailing address
1250 LA VENTA DR STE 114, WESTLAKE VILLAGE, CA 91361-3762

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
10/03/2025
Last updated
10/03/2025
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