ASTRAL PHARMACY INC
6368 Hollywood Blvd
Los Angeles, CA 90028
323-466-9931
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers - Pharmacy - | ||
Y | 3336C0003X | Suppliers - Pharmacy | CA | PHY42171 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
NCPDP PROVIDER IDENTIFICATION NUMBER | 0572140 | OTHER | |
PHA421710 | CA | MEDICAID |