Organization
BRENT-AIR PHARMACY INC
Active
Other names
BRENT AIR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF ZAKY (CEO AND PHARMACIST IN CHARGE)
(310) 476-2211
Entity
Organization
Contact information
Practice address
134 S BARRINGTON AVE, LOS ANGELES, CA 90049-3309
(310) 476-2211
(310) 472-8659
Mailing address
134 S BARRINGTON AVE, LOS ANGELES, CA 90049-3309
(310) 476-2211
(310) 472-8659
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48616
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992063
PK
—
Enumeration date
11/01/2006
Last updated
08/10/2016
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