Organization
PICWOOD CORPORATION
Active
Organization
PICWOOD CORPORATION
Active
Other names
PICWOOD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAC ZAKHOR (CHIEF PHARMACIST OWNER)
(310) 475-6006
Entity
Organization
Contact information
Practice address
2370 WESTWOOD BLVD, LOS ANGELES, CA 90064-2181
(310) 475-6006
(310) 441-0387
Mailing address
2370 WESTWOOD BLVD, LOS ANGELES, CA 90064-2181
(310) 475-6006
(310) 441-0387
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY34513
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999314
PK
—
05
—
PHA345130
—
CA
Enumeration date
07/22/2006
Last updated
02/28/2017
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