Organization
REGENTS UNIV OF CALIF LOS ANGELES
Active
Other names
Ronald Reagan UCLA - Medical Plaza Level I Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY WALLACE (CFO UCLA HOSPITAL SYSTEM)
(310) 794-8627
Entity
Organization
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 135, LOS ANGELES, CA 90095-8344
(310) 794-1176
Mailing address
757 WESTWOOD PLZ RM B504E, LOS ANGELES, CA 90095-7423
(310) 794-1176
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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