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NPI Code Detail

MEDICARE: IMPERIAL OF WESTWOOD PHARMACY

MEDICARE: IMPERIAL OF WESTWOOD PHARMACY
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
13336C0003XCommunity/Retail PharmacyPHY36046CA

General Provider Information

NPI Number : 1023219664
Entity Type Code : Organization
Provider Name (Legal Business Name) : IMPERIAL OF WESTWOOD PHARMACY
Provider Business Mailing Address
First Line : 1820 WESTWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-4612
Country : US
Telephone Number :
Fax Number : 310-475-2890
Provider Business Practice Location Address
First Line : 1820 WESTWOOD BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90025-4612
Country : US
Telephone Number : 310-475-6000
Fax Number : 310-475-2890
Authorized Official
Title or Position : PHARMACIST
Name : IRADJ YADEGAR
Credential :
Telephone Number : 310-475-6000
Provider Enumeration Date : 05/30/2007
Last Update Date : 08/22/2020

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Directions to “IMPERIAL OF WESTWOOD PHARMACY ” Practice Location

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