Astral Pharmacy

LBN: Astral Pharmacy Inc
Astral Pharmacy is an health care organization with primary practice located at 6368 Hollywood Blvd , Los Angeles CA 90028-6320. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Astral Pharmacy Inc can be contacted via phone (323) 466-9931, or through Kirakosyan, Gayane via phone (323) 466-9931.

Contact Information

Primary practice address
6368 Hollywood Blvd Los Angeles CA 90028-6320
Fax: (323) 466-9932
Website:
Authorized official contact:
Name: Kirakosyan, Gayane PH.D

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY42171 California

Profile Details

NPI number 1902891773
LBN Legal business name Astral Pharmacy Inc
DBA Doing business as Astral Pharmacy
Authorized official Kirakosyan, Gayane PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2005
Last updated Sep 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902891773 NPPES
Other 0572140 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID PHA421710 NCPDP PROVIDER IDENTIFICATION NUMBER

Popular Providers