Organization
AVALON PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZAHRA MORIDZADEH PHARMD (CHIEF PHARMACIST)
(310) 549-5353
Entity
Organization
Contact information
Practice address
1203 N AVALON BLVD STE A, WILMINGTON, CA 90744-2646
(310) 549-5353
(310) 549-9777
Mailing address
1203 N AVALON BLVD STE A, WILMINGTON, CA 90744-2646
(310) 549-5353
(310) 549-9777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
52139
CA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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