Organization
CENTER DRUG INC
Active
Other names
CENTER DRUG PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AFROOZ JAVANFARD (VICE PRESIDENT)
(818) 380-0102
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD STE 100, ENCINO, CA 91316-4193
(818) 380-0102
(818) 380-0164
Mailing address
16952 VENTURA BLVD STE 100, ENCINO, CA 91316-4193
(818) 380-0102
(818) 380-0164
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50308
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 50308
CA
3336C0004X
Compounding Pharmacy
PHY 50308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 50308
RETAIL PHARMACY PERMIT
CA
Enumeration date
06/10/2010
Last updated
06/10/2010
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