AMANITA RX, INC.

WESTLAKE VILLAGE, CA
NPI1285649897
Entity TypeOrganization
Authorized ContactSEEMA PATEL
CEO
818-389-6381
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
(Licence: CA  PHY55875)
Additional Taxonomies333600000X Pharmacy
3336L0003X Pharmacy, Long Term Care Pharmacy
Enumeration Date2006-07-30
Last Update Date2017-12-28
Business Address
AMANITA RX, INC.
1250 LA VENTA DR STE 114
WESTLAKE VILLAGE, CA 91361-3702
Phone number: 805-497-3974
Mailing Address
AMANITA RX, INC.
1250 LA VENTA DR STE 114
WESTLAKE VILLAGE, CA 91361-3702
Phone number: 805-497-3974