Organization
MED CENTER INC
Active
Other names
MED CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VIRAJ PATEL PHARM D (PRESIDENT/CEO/PIC)
(818) 785-4944
Entity
Organization
Contact information
Practice address
14624 SHERMAN WAY STE 104, VAN NUYS, CA 91405-2287
(818) 785-4944
(818) 785-3918
Mailing address
14624 SHERMAN WAY STE 104, VAN NUYS, CA 91405-2287
(818) 785-4944
(818) 785-3918
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59141
BOARD OF PHARMACY
CA
Enumeration date
04/16/2007
Last updated
08/10/2023
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