Organization
AIRPORT PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SAKAMOTO PHARMD (OWNER)
(310) 450-6248
Entity
Organization
Contact information
Practice address
3250 PICO BLVD, SANTA MONICA, CA 90405-2114
(310) 450-7555
(310) 450-6401
Mailing address
3250 PICO BLVD, SANTA MONICA, CA 90405-2114
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY40734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0501127
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA407340
—
CA
Enumeration date
07/22/2006
Last updated
08/22/2020
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