# PRIMEMED PHARMACY INC

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

## Provider details

- **NPI number:** 1619705571
- **Authorized official:** ZAREH NAZARIAN (PRESIDENT/CEO)
- **Authorized official phone:** (818) 600-0777

## Contact information

- **Practice address:** 839 W GLENOAKS BLVD, GLENDALE, CA 91202-2133
- **Practice address phone:** (818) 600-0777
- **Practice address fax:** (818) 649-1052
- **Mailing address:** 839 W GLENOAKS BLVD, GLENDALE, CA 91202-2133
- **Mailing address phone:** (818) 600-0777
- **Mailing address fax:** (818) 649-1052

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2024
- **Last updated:** 07/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY55643 | BOARD OF PHARMACY | CA |