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CREATIVE CURES PHARMACY NPI 1659812519


NPI Information

NPI: 1659812519
Provider Name: CREATIVE CURES PHARMACY

Doing Business As: CREATIVE RX

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
12137 TIARA ST
VALLEY VILLAGE, CA
ZIP 91607
Phone: (818) 259-5375
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CREATIVE CURES PHARMACY is a pharmacy in Valley Village, CA. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. CREATIVE CURES PHARMACY NPI is 1659812519. The provider is registered as an organization entity type.
The provider Is Doing Business As Creative Rx.

The provider's business location address is:

12137 TIARA ST
VALLEY VILLAGE, CA
ZIP 91607-118
Phone: (818) 259-5375
Fax: (818) 881-2996

The provider's authorized official is Philip Aaron Ettedgui .
The authorized official title is Ceo and has the following contact phone number (818) 259-5375.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 3/13/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy49611CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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