Organization
PW PLAZA RX INC
Active
Other names
PARK WEST PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AIDA GEVORGYAN (PRESIDENT/CEO)
(818) 346-6550
Entity
Organization
Contact information
Practice address
7230 MEDICAL CENTER DR STE 106, WEST HILLS, CA 91307-4003
(818) 346-6550
(818) 348-4663
Mailing address
7230 MEDICAL CENTER DR STE 106, WEST HILLS, CA 91307-4003
(818) 346-6550
(818) 348-4663
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58363
BOARD OF PHARMACY
CA
Enumeration date
11/16/2016
Last updated
06/16/2022
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