# ULTIMATE PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ULTIMATE PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376978916
- **Authorized official:** MRS. IRINA SADOVSKY RPH (PRESIDENT/PIC)
- **Authorized official phone:** (818) 849-3303

## Contact information

- **Practice address:** 16438 VANOWEN ST, UNIT 201, VAN NUYS, CA 91406-4759
- **Practice address phone:** (818) 849-3303
- **Practice address fax:** (818) 849-3304
- **Mailing address:** 16438 VANOWEN ST, UNIT 201, VAN NUYS, CA 91406-4759
- **Mailing address phone:** (818) 849-3303
- **Mailing address fax:** (818) 849-3304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | PHY 51497 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY 51497 | CA | Yes |
| 3336S0011X | Specialty Pharmacy | PHY 51497 | CA | — |

## Other

- **Enumeration date:** 09/12/2013
- **Last updated:** 06/26/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 56-49112 | NCPDP | CA |
| 01 | — | PHY 51497 | BOARD OF PHARMACY PERMIT | CA |