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:
Map and Directions
Authorized official contact:
Name: Yousefian, Hrach
Phone: (818) 242-8838

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023142734 NPPES
Other 2067006 PK
MEDICAID PHA393630 PK

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