Organization
PERIGON PHARMACY 360 NW, LLC
Active
Other names
Perigon Pharmacy 360 West
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER ANTYPAS PHARMD (PRESIDENT)
(805) 874-2025
Entity
Organization
Contact information
Practice address
442 N MOORPARK RD, THOUSAND OAKS, CA 91360-3702
(805) 874-2025
Mailing address
442 N MOORPARK RD, THOUSAND OAKS, CA 91360-3702
(805) 874-2025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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