Organization
SELECT LTC PHARMACY CORPORATION
Active
Other names
SELECT LTC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ELLINA CHULPAEFF (PRESIDENT/CEO)
(310) 341-3455
Entity
Organization
Contact information
Practice address
11203 S LA CIENEGA BLVD, LOS ANGELES, CA 90045-6112
(310) 341-3455
(310) 341-3454
Mailing address
11203 S LA CIENEGA BLVD, LOS ANGELES, CA 90045-6112
(310) 341-3455
(310) 341-3454
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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