Organization
CENTURY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH AMIN BACHELOR OF SC (CEO)
(310) 473-1568
Entity
Organization
Contact information
Practice address
11870 SANTA MONICA BLVD, STE 108, LOS ANGELES, CA 90025-2276
(310) 473-1568
(310) 820-4451
Mailing address
11870 SANTA MONICA BLVD, STE 108, LOS ANGELES, CA 90025-2212
(310) 473-1568
(310) 820-4451
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY34252
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004373
PK
—
Enumeration date
01/11/2007
Last updated
06/05/2017
About Stedi
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