Organization
LAX PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL AHDOUT PHARM.D. (PHARMACIST/PRESIDENT)
(310) 674-1403
Entity
Organization
Contact information
Practice address
4457 LENNOX BLVD, LENNOX, CA 90304-2303
(310) 674-1403
(310) 674-1421
Mailing address
4457 LENNOX BLVD, LENNOX, CA 90304-2303
(310) 674-1403
(310) 674-1421
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
48895
CA
Other
Enumeration date
12/13/2007
Last updated
12/13/2007
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