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
Phone: (323) 466-9931
Fax: (323) 466-9932
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902891773 | NPPES |
| Other | 0572140 | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| MEDICAID | PHA421710 | NCPDP PROVIDER IDENTIFICATION NUMBER |
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