# PHARMACIST HOLDING GROUP

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

## Provider details

- **NPI number:** 1619369527
- **Authorized official:** MR. KEVORK SHAHE SHAHINIAN PHARM.D. (CEO/OWNER)
- **Authorized official phone:** (818) 960-4664

## Contact information

- **Practice address:** 9528 TOPANGA CYN BLVD, CHATSWORTH, CA 91311
- **Practice address phone:** (818) 960-4664
- **Practice address fax:** (818) 960-4660
- **Mailing address:** 9528 TOPANGA CYN BLVD, CHATSWORTH, CA 91311
- **Mailing address phone:** (818) 960-4664
- **Mailing address fax:** (818) 960-4660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 55421 | CA | — |
| 3336C0003X | Community/Retail Pharmacy | PHY55421 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | 55421 | CA | — |
| 3336L0003X | Long Term Care Pharmacy | PHY55421 | CA | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 01/29/2018