Organization
PLATINUM PHARMACY INC.
Active
Other names
Platinum Pharmacy.
Organization subpart
No
Provider details
NPI number
Authorized official
MARYEM AKHAVANROOFIGAR RPH (OWNER/PIC)
(310) 709-3581
Entity
Organization
Contact information
Practice address
1377 WESTWOOD BLVD, LOS ANGELES, CA 90024-4940
(310) 444-7979
(310) 444-7971
Mailing address
1377 WESTWOOD BLVD, LOS ANGELES, CA 90024-4940
(310) 444-7979
(310) 444-7971
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
54308
CA
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2131925
PK
—
Enumeration date
09/14/2011
Last updated
02/20/2017
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