Provider Demographics
NPI:1649780560
Name:WOODHILLS RX CORP
Entity type:Organization
Organization Name:WOODHILLS RX CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO/SEC./DIR.
Authorized Official - Prefix:
Authorized Official - First Name:HOMA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZEMI ZANJANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-912-2993
Mailing Address - Street 1:20011 VENTURA BLVD
Mailing Address - Street 2:STE 1006
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:747-888-3197
Mailing Address - Fax:747-888-3198
Practice Address - Street 1:20011 VENTURA BLVD STE 1006
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2573
Practice Address - Country:US
Practice Address - Phone:747-888-3197
Practice Address - Fax:747-888-3198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
CA558433336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies