Providence Health System-Southern California
Providence Health System-Southern California is a Community/Retail Pharmacy in Tarzana, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
18370 Burbank Blvd Ste 104Tarzana, CA 91356-2804
Phone: (818) 996-3600
Fax: (818) 996-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1356962385 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secretary For Enrollment · (425) 525-5392 |
| Other names | Providence Tarzana Pharmacy |
| NPI enumerated | April 30, 2020 |
| Last updated in NPPES | April 30, 2020 |
| Certification date | April 30, 2020 |
| Mailing address | Po Box 3268, Portland, OR 97208-3268 |
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