Organization
MAGNOLIA PHARMACEUTICAL CORP
Active
Other names
MAGNOLIA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KAMBIZ AHADIMOGHADDAM (CEO/PIC)
(818) 238-0100
Entity
Organization
Contact information
Practice address
2211 W MAGNOLIA BLVD, 115, BURBANK, CA 91506-1753
(818) 238-0100
(818) 238-0115
Mailing address
2211 W MAGNOLIA BLVD, 115, BURBANK, CA 91506-1753
(818) 238-0100
(818) 238-0115
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113302
PK
—
Enumeration date
03/07/2008
Last updated
11/26/2018
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