MEDICARE: DR. GRETA GOLDSHTEIN PHARMD, APH

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
1	183500000X	Pharmacist	49705	CA
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	49705	CA

General Provider Information

NPI Number	:	1588769764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRETA GOLDSHTEIN PHARMD, APH

Provider Business Mailing Address
First Line	:	9821 W PICO BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-4712
Country	:	US
Telephone Number	:	310-277-6266
Fax Number	:

Provider Business Practice Location Address
First Line	:	23693B CALABASAS RD
Second Line	:
City	:	CALABASAS
State	:	CA
Zip	:	91302-1502
Country	:	US
Telephone Number	:	818-403-3072
Fax Number	:	818-356-8804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	02/17/2020

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