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Organization

SOUTHERN CALIFORNIA REGIONAL INFUSION PHARMACOLOGICAL TECHNOLOGY SERV

Active
Other names
SCRIPTS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALINA GREENBERG PHARM D (PRESIDENT/PIC)
(818) 765-1234
Entity
Organization

Contact information

Practice address
13131 SHERMAN WAY, SUITE 209, NORTH HOLLYWOOD, CA 91605-4646
(818) 765-1234
(818) 765-1235
Mailing address
13131 SHERMAN WAY, SUITE 209, NORTH HOLLYWOOD, CA 91605-4646
(818) 765-1234
(818) 765-1235

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 52406
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY 52406
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PHY 52406
STATE BOARD OF PHARMACY LICENSE
CA
Enumeration date
09/24/2014
Last updated
02/08/2016
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