Organization
SHALOM RX INC
Active
Other names
SHALOM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK KOHANCHI PHARM D (PRESIDENT/CEO)
(818) 774-1800
Entity
Organization
Contact information
Practice address
18000 VENTURA BLVD STE 2, ENCINO, CA 91316-3533
(818) 774-1800
(818) 774-1188
Mailing address
18000 VENTURA BLVD STE 2, ENCINO, CA 91316-3533
(818) 774-1800
(818) 774-1188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58843
BOARD OF PHARMACY
CA
Enumeration date
05/09/2007
Last updated
06/14/2023
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