Glendale Pharmacy

LBN: Glendale Pharmacy Inc
Glendale Pharmacy is an health care organization with primary practice located at 1122 N Brand Blvd , Glendale CA 91202-2547. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Managed Care Organization Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Glendale Pharmacy Inc can be contacted via phone (818) 244-3164, or through Avakian, Rita via phone (818) 521-4101.

Contact Information

Primary practice address
1122 N Brand Blvd Glendale CA 91202-2547
Phone: (818) 244-3164
Fax: (818) 244-1145
Website:
Map and Directions
Authorized official contact:
Name: Avakian, Rita
Phone: (818) 521-4101

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY48421 California
Suppliers / Managed Care Organization Pharmacy 3336M0003X

Profile Details

NPI number 1801807482
LBN Legal business name Glendale Pharmacy Inc
DBA Doing business as Glendale Pharmacy
Authorized official Avakian, Rita
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2006
Last updated Apr 17th, 2014 - about 11 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 1801807482 NPPES
Other 1990406 PK
MEDICAID PHA484210 PK

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