Rite Aid Pharmacy Store# 05786

NPI 1184016420 - Pharmacy - 333600000X

NPI Details
NPI 1184016420
Enumeration Date 02/24/2015
Last Updated 02/24/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name SAMIR BASSILY SAMIR
Position MANAGER
Phone (805) 522-2029
Fax (805) 522-3278
Practice Location
5845 E LOS ANGELES AVE
SIMI VALLEY CA, 93063-4256, US
Phone (805) 522-2029
Fax (805) 522-3278
Business Location
5845 E LOS ANGELES AVE
N/A
SIMI VALLEY CA, 93063-4256, US
Phone (805) 522-2029
Fax (805) 522-3218
Toxanomy
Taxonomy Code 333600000X
License State California
License Number 41197
Remove 1184016420 NPI Number
 

According to our database, Rite Aid Pharmacy Store# 05786 NPI is 1184016420, taxonomy code is 333600000X and license number is 41197, license state is located at California. Rite Aid Pharmacy Store# 05786 physically located at 5845 E Los Angeles Ave, Simi Valley CA, 93063-4256. NPI Number 1033115704 has the healthcare provider type.

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1184016420 NPI number is provided on an as is basis without warranty of any kind. 1184016420 is maintained by the National Plan & Provider Enumeration System. The contents of Rite Aid Pharmacy Store# 05786 are for informational purposes only.