Healthcare Provider Details

I. General information

NPI: 1245315282
Provider Name (Legal Business Name): LA VOTRE RX INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29449 THE OLD RD
CASTAIC CA
91384-2902
US

IV. Provider business mailing address

29449 THE OLD RD
CASTAIC CA
91384-2902
US

V. Phone/Fax

Practice location:
  • Phone: 661-294-9041
  • Fax: 661-294-9072
Mailing address:
  • Phone: 661-294-9041
  • Fax: 661-294-9072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY46964
License Number StateCA

VIII. Authorized Official

Name: MR. JOEL ABERGEL
Title or Position: OWNER CEO
Credential: PHARM D
Phone: 661-294-9041