Organization
PHARMACORP, INC
Active
Other names
PharmaCorp, Inc., Brentwood Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMAYOUN NAMJO PHARM.D (PRESIDENT)
(310) 393-0202
Entity
Organization
Contact information
Practice address
2530B SAN VICENTE BLVD, SANTA MONICA, CA 90402-2321
(310) 393-0201
(310) 394-2712
Mailing address
2530B SAN VICENTE BLVD, SANTA MONICA, CA 90402-2321
(310) 393-0201
(310) 394-2712
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY41968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578558
NCPDP
CA
05
—
1831254747
—
CA
Enumeration date
12/22/2006
Last updated
10/01/2024
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