Organization
CENTURY DISCOUNT PHARMACY INC
Active
Other names
CENTURY DISCOUNT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH AMIN (CEO,AO)
(310) 877-7076
Entity
Organization
Contact information
Practice address
18254 SHERMAN WAY, RESEDA, CA 91335-4550
(818) 708-7080
(818) 708-9142
Mailing address
18254 SHERMAN WAY, RESEDA, CA 91335-4550
(818) 708-7080
(818) 708-9142
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2115765
PK
—
Enumeration date
11/28/2006
Last updated
06/22/2015
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