Organization
AYN PHARMACY CORP
Active
Other names
The Prescription Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYAM NASSIR PHARM.D. (VICE PRESIDENT)
(310) 274-7113
Entity
Organization
Contact information
Practice address
9730 WILSHIRE BLVD, SUITE 103 & 114, BEVERLY HILLS, CA 90212-2022
(310) 274-7113
(310) 274-2569
Mailing address
9730 WILSHIRE BLVD, SUITE 103 & 114, BEVERLY HILLS, CA 90212-2022
(310) 274-7113
(310) 274-2569
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY41455
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY41455
CA
3336C0004X
Compounding Pharmacy
PHY41455
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0557112
NABP
—
05
—
PHA414550
—
CA
Enumeration date
12/06/2006
Last updated
09/06/2011
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