Organization
LAUREN PHARMACY INC
Active
Other names
Laurel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY HOWARD WISE BS RPH (PRESIDENT/OWNER)
(818) 896-1104
Entity
Organization
Contact information
Practice address
13686 VAN NUYS BLVD, PACOIMA, CA 91331-3616
(818) 896-1104
(818) 896-7299
Mailing address
13686 VAN NUYS BLVD, PACOIMA, CA 91331-3616
(818) 896-1104
(818) 896-7299
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PH7327640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PH732764
—
CA
Enumeration date
10/25/2005
Last updated
08/22/2020
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