Organization
PREFERRED RX, INC.
Active
Other names
Rodeo Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM GURMAN (PRESIDENT)
(323) 459-0785
Entity
Organization
Contact information
Practice address
3560 S LA CIENEGA BLVD STE B, LOS ANGELES, CA 90016-4400
(323) 939-3900
(323) 939-3909
Mailing address
3560 S LA CIENEGA BLVD STE B, LOS ANGELES, CA 90016-4400
(323) 939-3900
(323) 939-3909
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
49091
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49091
CALIFORNIA BOARD OF PHARMACY PERMIT NUMBER
CA
Enumeration date
06/16/2008
Last updated
01/07/2011
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