Organization
ENCINO CARE PHARMACY
Active
Other names
Encino Care Pharmacy II
Organization subpart
No
Provider details
NPI number
Authorized official
NIRA HARIRI PHARMD (PRESIDENT)
(818) 377-9194
Entity
Organization
Contact information
Practice address
16001 VENTURA BLVD STE 135, ENCINO, CA 91436-4490
(818) 789-9200
(818) 789-9209
Mailing address
16001 VENTURA BLVD, SUITE 135, ENCINO, CA 91436-4481
(818) 789-9200
(818) 789-9209
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
50459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5639589
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/10/2010
Last updated
02/22/2011
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