Individual provider · Type 1 NPI
Philip Aaron Ettedgui, PharmD
Pharmacist · Los Angeles, CA
Practice location
5060 W Sunset Blvd Ste C
Los Angeles, CA 90027-5872
Fax (323) 667-1131
Mailing address
12137 Tiara St
Valley Village, CA 91607-1118
Other practice locations
- 2519 W Burbank Blvd, Burbank, CA 91505-2302 · (818) 736-5290
- 18625 Sherman Way Ste 107, Reseda, CA 91335-4187 · (818) 881-2998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist Primary | 183500000X | 49611 (CA) |
Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…
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About NPI 1013569565
Philip Aaron Ettedgui, PharmD's National Provider Identifier is 1013569565, issued on Jul 15, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 15, 2019.