Organization
KPG PHARMACY CO.
Active
Other names
Tarzana Village Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLAREH TAFRESHI PHARMD (OWNER)
(818) 743-0011
Entity
Organization
Contact information
Practice address
18735 VENTURA BLVD, TARZANA, CA 91356-3302
(818) 917-8851
Mailing address
23620 DRACO WAY, WEST HILLS, CA 91307-1352
(818) 913-3869
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
11/12/2024
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