Organization
MAPLE MEDICAL PHARMACY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM KHORSHAD (OWNER)
(310) 343-3922
Entity
Organization
Contact information
Practice address
9231 W OLYMPIC BLVD, BEVERLY HILLS, CA 90212-4658
(310) 343-3922
Mailing address
8950 W OLYMPIC BLVD, STE 487, BEVERLY HILLS, CA 90211-3561
(323) 343-3922
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50822
CA
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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