Organization
TARGET
Active
Organization
TARGET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARINAZ POURBAHRAMI (PHARMACIST)
(818) 317-5518
Entity
Organization
Contact information
Practice address
6700 TOPANGA CANYON BLVD, CANOGA PARK, CA 91303-2624
(818) 317-5518
Mailing address
6956 LENA AVE, WEST HILLS, CA 91307-2523
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
71486
CA
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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