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Organization

MEDALLION PRESCRIPTION PHARMACY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BEATRISA TSEYTLIN PHARMD (PHARMACIST)
(818) 340-0212
Entity
Organization

Contact information

Practice address
23101 SHERMAN PL, SUITE #101, WEST HILLS, CA 91307-2008
(818) 789-6836
(818) 340-5075
Mailing address
23101 SHERMAN PL, SUITE #101, WEST HILLS, CA 91307-2008
(818) 789-6836
(818) 340-5075

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY394090
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHA394090
CA
Enumeration date
10/04/2005
Last updated
08/22/2020
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