Organization
ALLIED HEALTH PARTNER INC
Active
Other names
ALLIED HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORUSH J FARAHANI PHARM D (PRESIDENT/PIC)
(818) 290-8465
Entity
Organization
Contact information
Practice address
14659 VICTORY BLVD, VAN NUYS, CA 91411-1622
(818) 290-8465
(818) 290-8466
Mailing address
14659 VICTORY BLVD, VAN NUYS, CA 91411-1622
(818) 290-8465
(818) 290-8466
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY52501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY 52501
RETAIL PHARMACY PERMIT
CA
Enumeration date
04/10/2015
Last updated
04/21/2015
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