Organization
MZMZ CORP.
Active
Other names
Noble Specialty Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LERNER (PRESIDENT)
(424) 268-6028
Entity
Organization
Contact information
Practice address
17609 VENTURA BLVD STE LL06, ENCINO, CA 91316-5137
(818) 464-4988
(818) 464-4989
Mailing address
17609 VENTURA BLVD, LL06, ENCINO, CA 91316-3858
(818) 464-4988
(818) 464-4989
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
58321
CA
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2156128
PK
—
Enumeration date
01/04/2016
Last updated
01/15/2016
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