Venice Family - Store 3
Pharmacy, Community/Retail Pharmacy in Culver City, CA. Organization (NPI-2).
NPI number1982154308
StatusActive
Last updated in NPPESSep 11, 2023
Details
- NPI
- 1982154308
- Entity type
- Organization (NPI-2)
- Legal business name
- Venice Family - Store 3
- Organization subpart
- No
- Enumeration date
- Oct 10, 2016
- Certification date
- Sep 11, 2023
- Last updated
- Sep 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
4700 Inglewood Blvd Ste 102Culver City, CA 90230-5896
Phone 310-664-7757
Mailing address
604 Rose AveVenice, CA 90291-2767
Phone 310-664-7756
Authorized official
Sharon Ng
Pharmacy Director
3106647735
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