Organization
PRT RX, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASSDOLLAH TOOLAMI-VAGHEI R.PH. (PRESIDENT/OWNER)
(310) 289-6590
Entity
Organization
Contact information
Practice address
8700 W. PICO BLVD., LOS ANGELES, CA 90035-2206
(310) 289-6590
(310) 289-8825
Mailing address
8700 W. PICO BLVD., LOS ANGELES, CA 90035-2206
(310) 289-6590
(310) 289-8825
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
PHY 44728
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710097886
—
CA
05
—
PHA447280
—
CA
Enumeration date
08/30/2006
Last updated
08/13/2020
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