# ALTADENA MEDICAL PHARMACY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Altadena Medical Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790677631
- **Authorized official:** GAYANE DANIELYAN (CEO)
- **Authorized official phone:** (626) 765-6246

## Contact information

- **Practice address:** 2525 E FOOTHILL BLVD STE 6, PASADENA, CA 91107-3485
- **Practice address phone:** (626) 765-6246
- **Mailing address:** 2525 E FOOTHILL BLVD STE 6, PASADENA, CA 91107-3485
- **Mailing address phone:** (626) 765-6246

## Taxonomy

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

## Other

- **Enumeration date:** 07/16/2025
- **Last updated:** 07/16/2025