Organization
CRESCENT DRUGS INC
Active
Other names
Crescent Drugs, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NAGHI (PRESIDENT)
(310) 558-1400
Entity
Organization
Contact information
Practice address
5915 BLACKWELDER ST, CULVER CITY, CA 90232-7305
(310) 558-1400
(310) 558-1417
Mailing address
5915 BLACKWELDER ST, CULVER CITY, CA 90232-7305
(310) 558-1400
(310) 558-1417
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50359
CA
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130259
PK
—
05
—
PHA455890
—
CA
Enumeration date
10/25/2006
Last updated
05/12/2015
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