Olive Branch Pharmacy INC
Pharmacy in Los Angeles, CA. Organization (NPI-2).
NPI number1194526558
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1194526558
- Entity type
- Organization (NPI-2)
- Legal business name
- Olive Branch Pharmacy INC
- Organization subpart
- Yes
- Enumeration date
- Mar 21, 2025
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 333600000X | Pharmacy | – | – | Yes |
Other names
- Olive Branch Pharmacy 3 (Doing Business As)
Practice location
1929 S San Pedro StLos Angeles, CA 90011-1121
Phone 213-677-1230 · Fax 213-677-1227
Mailing address
1929 S San Pedro StLos Angeles, CA 90011-1121
Phone 213-677-1230 · Fax 213-677-1227
Authorized official
Redda Alhoussayni
Pharmacist In Charge
2136771230
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