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NPI Code Detail

MEDICARE: NO HOLLYWOOD MEDICAL ARTS PHARMACY INC

MEDICARE: NO HOLLYWOOD MEDICAL ARTS PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1333600000XPharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10525812COTHERNPI
20525812COTHERCANPI

General Provider Information

NPI Number : 1003816703
Entity Type Code : Organization
Provider Name (Legal Business Name) : NO HOLLYWOOD MEDICAL ARTS PHARMACY INC
Provider Business Mailing Address
First Line : 4420 VINELAND AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91602-2116
Country : US
Telephone Number : 818-766-3996
Fax Number : 818-766-0239
Provider Business Practice Location Address
First Line : 4420 VINELAND AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91602-2116
Country : US
Telephone Number : 818-766-3996
Fax Number : 818-766-0239
Authorized Official
Title or Position : PIC/OWNER
Name : DR. CLAUDIA HEATHER MYLES
Credential : RPH/PHARM.D.
Telephone Number : 818-766-3996
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/05/2019

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Directions to “NO HOLLYWOOD MEDICAL ARTS PHARMACY INC ” Practice Location

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