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Innova Rx INC.

Pharmacy, Community/Retail Pharmacy in West Hollywood, CA. Organization (NPI-2).

NPI number1477054567
StatusActive
Last updated in NPPESFeb 23, 2018

Details

NPI
1477054567
Entity type
Organization (NPI-2)
Legal business name
Innova Rx INC.
Organization subpart
No
Enumeration date
Feb 23, 2018
Last updated
Feb 23, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy56074CAYes

Other names

  • Cedarmak Pharmacy (Doing Business As)

Practice location

8737 Beverly Blvd Ste 102
West Hollywood, CA 90048-1835

Phone 424-303-7860 · Fax 424-303-7854

Mailing address

8737 Beverly Blvd Ste 102
West Hollywood, CA 90048-1835

Phone 424-303-7860 · Fax 424-303-7854

Authorized official

Siamak Bagheri
Ceo/Owner
4243037860

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