Pharmacy 90210 Inc

NPI 1265788558 - Pharmacy - 3336C0003X

NPI Details
NPI 1265788558
Enumeration Date 07/24/2012
Last Updated 11/25/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SHAHRAM SHAHRAM
Position PRESIDENT, CEO, PIC
Phone (310) 777-2000
Fax (310) 777-2001
Practice Location
9735 WILSHIRE BLVD
SUITE 110
BEVERLY HILLS CA, 90212-2107, US
Phone (310) 777-2000
Fax (310) 777-2001
Business Location
9735 WILSHIRE BLVD
SUITE 110
BEVERLY HILLS CA, 90212-2107, US
Phone (310) 777-2000
Fax (310) 777-2001
Toxanomy
Taxonomy Code 3336C0003X
License State California
License Number 51013
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According to our database, Pharmacy 90210 Inc NPI is 1265788558, taxonomy code is 3336C0003X and license number is 51013, license state is located at California. Pharmacy 90210 Inc physically located at 9735 Wilshire Blvd, Beverly Hills CA, 90212-2107. NPI Number 1033115704 has the healthcare provider type.

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1265788558 NPI number is provided on an as is basis without warranty of any kind. 1265788558 is maintained by the National Plan & Provider Enumeration System. The contents of Pharmacy 90210 Inc are for informational purposes only.