Organization
CEDRA PHARMACY LOS ANGELES LLC
Active
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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