Organization
AMC RX PHARMACY, INC
Active
Other names
AMC Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SHALTS PHARM D (PRESIDENT/CEO)
(818) 841-0423
Entity
Organization
Contact information
Practice address
2625 W ALAMEDA AVE, STE 110, BURBANK, CA 91505-4815
(818) 841-0423
(818) 841-1508
Mailing address
2625 W ALAMEDA AVE, STE 110, BURBANK, CA 91505-4815
(818) 841-0423
(818) 841-1508
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58094
BOARD OF PHARMACY
CA
Enumeration date
03/19/2007
Last updated
04/07/2022
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