Organization
MASK, INC.
Active
Organization
MASK, INC.
Active
Other names
Sylmar Professional Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUSUMI IWANAGA RPH. (PHARM. D./ PRESIDENT)
(818) 362-6894
Entity
Organization
Contact information
Practice address
12737 GLENOAKS BLVD STE 27, SYLMAR, CA 91342-4777
(818) 362-6894
(818) 362-6896
Mailing address
12737 GLENOAKS BLVD, SYLMAR, CA 91342-4704
(818) 362-6894
(818) 362-6896
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY43627
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1355431
—
CA
Enumeration date
10/11/2006
Last updated
04/22/2008
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