Organization
XPRESS MED LA RX INC
Active
Other names
XPRESS MED PHARMACY LA
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRAM NASSI PHARM D (PRESIDENT/CEO/CFO/DIRECTOR)
(818) 804-8909
Entity
Organization
Contact information
Practice address
16430 VANOWEN ST UNIT 101-103, VAN NUYS, CA 91406-4729
(818) 804-8909
(818) 804-8994
Mailing address
16430 VANOWEN ST UNIT 101-103, VAN NUYS, CA 91406-4729
(818) 804-8909
(818) 804-8994
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59104
BOARD OF PHARMACY
CA
Enumeration date
08/16/2023
Last updated
08/16/2023
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