PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA

TARZANA, CA
NPI1356962385
Doing Business AsPROVIDENCE TARZANA PHARMACY
Entity TypeOrganization
Authorized ContactDONALD WAYNE ANDERSON
Assistant Secretary For Enrollment
425-525-5392
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy, Community/Retail Pharmacy
Enumeration Date2020-04-30
Last Update Date2020-04-30
Business Address
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
18370 BURBANK BLVD STE 104
TARZANA, CA 91356-2804
Phone number: 818-996-3600
Mailing Address
PROVIDENCE HEALTH SYSTEM-SOUTHERN CALIFORNIA
PO BOX 3268
PORTLAND, OR 97208-3268
Phone number: