Central Ave Pharmacy
LBN: Central Ave Pharmacy Inc
Central Ave Pharmacy is an health care organization with primary practice located at 119 W California Ave , Glendale CA 91203-2211. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Central Ave Pharmacy Inc can be contacted via phone (818) 242-8838, or through Yousefian, Hrach via phone (818) 242-8838.
Contact Information
Primary practice address
119 W California Ave
Glendale CA 91203-2211
Phone: (818) 242-8838
Fax: (818) 242-8837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | PHY39363 | California |
Profile Details
| NPI number | 1023142734 |
|---|---|
| LBN Legal business name | Central Ave Pharmacy Inc |
| DBA Doing business as | Central Ave Pharmacy |
| Authorized official | Yousefian, Hrach |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 19th, 2018 - about 6 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 | 1023142734 | NPPES |
| Other | 2067006 | PK | |
| MEDICAID | PHA393630 | PK |
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