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Organization

PASADENA CITY PHARMACY

Active
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Organization

PASADENA CITY PHARMACY

Active
Other names
PASADENA CITY PHARMACY
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA JEREDJIAN (PHARMD)
(626) 797-6661
Entity
Organization

Contact information

Practice address
1684 E WASHINGTON BLVD, PASADENA, CA 91104-2757
(626) 797-6661
(626) 797-9415
Mailing address
1684 E WASHINGTON BLVD, PASADENA, CA 91104-2757
(626) 797-6661
(626) 797-9415

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
PHY40826
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1996085
PK
05
PHA408260
CA
Enumeration date
08/20/2006
Last updated
11/14/2016
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