Healthcare Provider Details

I. General information

NPI: 1073153557
Provider Name (Legal Business Name): SIMI CARE PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2020
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 SYCAMORE DR STE 100
SIMI VALLEY CA
93065-1208
US

IV. Provider business mailing address

2925 SYCAMORE DR STE 100
SIMI VALLEY CA
93065-1208
US

V. Phone/Fax

Practice location:
  • Phone: 805-624-7772
  • Fax: 805-624-7730
Mailing address:
  • Phone: 805-624-7772
  • Fax: 805-624-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ASHER KASHANCHI
Title or Position: PHARMACIST-IN-CHARGE AND CEO
Credential:
Phone: 818-389-9837