Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VICTORY PLAZA PHARMACY INC
Active
Organization
VICTORY PLAZA PHARMACY INC
Active
Other names
VICTORY PLAZA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARJAN SHARIFI PHARM D (PRESIDENT/CEO)
(818) 600-8283
Entity
Organization
Contact information
Practice address
18515 VICTORY BLVD, RESEDA, CA 91335-6440
(818) 600-8283
(818) 600-8289
Mailing address
18515 VICTORY BLVD, RESEDA, CA 91335-6440
(818) 600-8283
(818) 600-8289
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58219
BOARD OF PHARMACY
CA
Enumeration date
08/03/2021
Last updated
08/03/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up