Organization
CEDRA PHARMACY LOS ANGELES LLC
Active
Other names
cedra pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MAZEN KARNABY (CEO)
(917) 836-8886
Entity
Organization
Contact information
Practice address
1417 W BEVERLY BLVD, MONTEBELLO, CA 90640-4123
(323) 206-4466
(323) 477-1272
Mailing address
724 ELTON AVE, BRONX, NY 10455-1244
(917) 836-8886
(323) 477-1272
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
54302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2165719
PK
—
Enumeration date
10/14/2016
Last updated
10/25/2023
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