# GOLDEN CARE LTC RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GOLDEN CARE PHARMACY LTC, GOLDEN CARE LTC PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548930415
- **Authorized official:** DMITRY REZNIK (PRESIDENT/CEO)
- **Authorized official phone:** (323) 234-1880

## Contact information

- **Practice address:** 418 N VARNEY ST, BURBANK, CA 91502-1732
- **Practice address phone:** (323) 234-1880
- **Practice address fax:** (323) 990-9898
- **Mailing address:** 418 N VARNEY ST, BURBANK, CA 91502-1732
- **Mailing address phone:** (323) 234-1880
- **Mailing address fax:** (323) 990-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2021
- **Last updated:** 07/01/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY58090 | BOARD OF PHARMACY | CA |
| 01 | — | PHY61565 | BOP | CA |