Organization
AURORA ALCANTARA
Active
Other names
AMA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA ALCANTARA (OWNER AND PHARMACIST)
(818) 642-7765
Entity
Organization
Contact information
Practice address
8619 RESEDA BLVD STE 101A, NORTHRIDGE, CA 91324-6148
(818) 886-3742
(818) 886-3763
Mailing address
8619 RESEDA BLVD, STE 101A, NORTHRIDGE, CA 91324-4044
(818) 886-3742
(818) 886-3763
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5625148
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/17/2007
Last updated
03/08/2010
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