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Organization

OCTAGON PHARMACEUTICAL INC

Active
Other names
Verdugo Plaza Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIE YAZDI (PRESIDENT/PIC)
(818) 952-2108
Entity
Organization

Contact information

Practice address
1809 VERDUGO BLVD STE 110, GLENDALE, CA 91208-1402
(818) 952-2108
(818) 952-2149
Mailing address
1809 VERDUGO BLVD STE 110, GLENDALE, CA 91208-1402
(818) 952-2108
(818) 952-2149

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51780
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2145465
PK
Enumeration date
06/15/2006
Last updated
08/10/2016
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