Organization
MAZDEYASNAN PHARMACEUTICAL
Active
Other names
LEONS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK MAZDEYASNAN PHARMD (OWNER)
(805) 483-8644
Entity
Organization
Contact information
Practice address
801 COOPER RD, OXNARD, CA 93030-5445
(805) 483-8644
(805) 483-2731
Mailing address
801 COOPER RD, OXNARD, CA 93030-5445
(805) 483-8644
(805) 483-2731
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY46437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0540028
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA464370
—
CA
Enumeration date
01/23/2007
Last updated
01/08/2010
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