1631 MONTANA AVE PHARMACY, LLC
Organization (NPI-2)
Active
Pharmacy, Community/Retail Pharmacy
Provider Information
- NPI Number
1881600476- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1631 MONTANA AVE, SANTA MONICA, CA, 904031807
- Phone
- (310) 393-0761
- Fax
- (310) 395-6654
Specialties & Taxonomies
Pharmacy, Community/Retail Pharmacy
Primary License: CA #PHY 49018