Organization
KPG PHARMACY CO.
Active
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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