Amanita Rx, Inc.
NPI #1285649897 in Westlake Village, California
Provider Information
- NPI Number
- 1285649897
- Entity Type
- Organization
- Organization Name
- Amanita Rx, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 30, 2006
- Last Updated
- Dec 28, 2017
Practice Location
- Address
- 1250 LA VENTA DR
- Address 2
- STE 114
- City
- Westlake Village
- State
- California
- ZIP Code
- 91361-3702
- Phone
- (805) 497-3974
Authorized Official
- Name
- SEEMA PATEL
- Title
- CEO
- Phone
- (818) 389-6381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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