Garden Plaza Pharmacy

LBN: Sjs Rx
Garden Plaza Pharmacy is an health care organization with primary practice located at 18411 Clark St Ste 106 , Tarzana CA 91356-3529. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Sjs Rx can be contacted via phone (818) 345-7982, or through Rastegar, Mitra via phone (818) 345-7982.

Contact Information

Primary practice address
18411 Clark St Ste 106 Tarzana CA 91356-3529
Phone: (818) 345-7982
Fax: (818) 345-7983
Website:
Map and Directions
Authorized official contact:
Name: Rastegar, Mitra PHARMD
Phone: (818) 345-7982

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1962584748
LBN Legal business name Sjs Rx
DBA Doing business as Garden Plaza Pharmacy
Authorized official Rastegar, Mitra PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962584748 NPPES
California MEDICAID PHA57452
California Other 1993092

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