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Suppliers Pharmacy Compounding Pharmacy

Provider NPI: 1629224381

Organization Information:
Organization Name:  ABC PHARMACY INC
Organization is not Subpart
Authorized Official:  ARKAIDY  KHAMIOV  PIC  323-363-7250

Practice Location:
16311 VENTURA BLVD STE 110 ENCINO, CA 91436-2124 US
Tel: 818-783-0422  Fax: 818-783-0423

Business Mailing Address:
16311 VENTURA BLVD STE 110 ENCINO, CA 91436-2124 US
Tel: 818-783-0422  Fax: 818-783-0423

NPI Information:
NPI: 1629224381
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Compounding Pharmacy

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3336C0003X





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