Organization
ONCARE PHARMACY LLC
Active
Other names
ONCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOUSA MIRAKHOR KALIMI PHARM D (MANAGING MEMBER)
(310) 853-1626
Entity
Organization
Contact information
Practice address
1030 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(310) 853-1626
(310) 853-8081
Mailing address
1030 S FAIRFAX AVE, LOS ANGELES, CA 90019-4401
(310) 853-1626
(310) 853-8081
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY60024
BOARD OF PHARMACY
CA
Enumeration date
09/30/2024
Last updated
09/30/2024
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