Fred P Startz
Pharmacy, Community/Retail Pharmacy in West Hollywood, CA. Organization (NPI-2).
NPI number1285649814
StatusActive
Last updated in NPPESDec 29, 2011
Details
- NPI
- 1285649814
- Entity type
- Organization (NPI-2)
- Legal business name
- Fred P Startz
- Organization subpart
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Dec 29, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | PHY43336 | CA | Yes |
Other names
- Marvins Pharmacy (Doing Business As)
Practice location
8933 Santa Monica BlvdWest Hollywood, CA 90069-4912
Phone 310-278-7734 · Fax 310-278-7748
Mailing address
8933 Santa Monica BlvdWest Hollywood, CA 90069-4912
Phone 310-278-7734 · Fax 310-278-7748
Authorized official
Fred Startz
Owner
3102787734
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