Organization
SHERMAN OAKS PHARMACY
Active
Other names
SHERMAN OAKS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GALINA PORTMAN (PRESIDENT/CEO)
(818) 285-8655
Entity
Organization
Contact information
Practice address
14842 1/2 MAGNOLIA BLVD, SHERMAN OAKS, CA 91403-1328
(818) 285-8655
(818) 387-6257
Mailing address
14842 1/2 MAGNOLIA BLVD, SHERMAN OAKS, CA 91403-1328
(818) 285-8655
(818) 387-6257
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58638
BOARD OF PHARMACY
CA
Enumeration date
02/10/2020
Last updated
05/21/2022
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