Organization
CREATIVE CURES PHARMACY
Active
Other names
CREATIVE RX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP AARON ETTEDGUI PHARM.D. (CEO)
(818) 259-5375
Entity
Organization
Contact information
Practice address
12137 TIARA ST, VALLEY VILLAGE, CA 91607-1118
(818) 259-5375
(818) 881-2996
Mailing address
12137 TIARA ST, VALLEY VILLAGE, CA 91607-1118
(818) 259-5375
(818) 881-2996
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
49611
CA
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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