Organization
HOTEL PHARMACY INC
Active
Other names
AMHERST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
BEHZAD NIAKAN (PIC)
(310) 826-4588
Entity
Organization
Contact information
Practice address
12200 WILSHIRE BLVD, 102 B, LOS ANGELES, CA 90025-1200
(310) 826-4588
(310) 826-3709
Mailing address
PO BOX 25817, LOS ANGELES, CA 90025-0817
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY39100
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0538744
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
PHA391000
—
CA
Enumeration date
07/22/2006
Last updated
10/31/2008
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