Organization · Type 2 NPI

Grand Venice LLC

Community/Retail Pharmacy · Los Angeles, CA

NPI number 1124484209 Active

Practice location

2974 Wilshire Blvd
Los Angeles, CA 90010-1101

Fax (213) 480-1301

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XPHY54082 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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About NPI 1124484209

Grand Venice LLC's National Provider Identifier is 1124484209, issued on Jan 5, 2016. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 4, 2026.