Organization
OAKDALE PHARMACY INC
Active
Organization
OAKDALE PHARMACY INC
Active
Other names
OAKDALE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KANE PHARMD (PIC)
(818) 788-0770
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD STE 100, ENCINO, CA 91316-1598
(818) 788-0770
(818) 788-0550
Mailing address
5400 BALBOA BLVD STE 100, ENCINO, CA 91316-1598
(818) 788-0770
(818) 788-0550
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1101700001
—
CA
01
—
2115759
PK
—
05
—
PHY212960
—
CA
Enumeration date
06/13/2006
Last updated
02/20/2017
Update your record
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