# BEVERLY PLAZA RX INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336976760
- **Authorized official:** MAIS MELIKIAN (CEO)
- **Authorized official phone:** (213) 488-2080

## Contact information

- **Practice address:** 101 E BEVERLY BLVD STE 101, MONTEBELLO, CA 90640-4314
- **Practice address phone:** (323) 725-7155
- **Practice address fax:** (323) 725-7766
- **Mailing address:** 101 E BEVERLY BLVD STE 101, MONTEBELLO, CA 90640-4314
- **Mailing address phone:** (323) 725-7155
- **Mailing address fax:** (323) 725-7766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 09/18/2024