# POLY-MED PHARMACY INC

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

## Provider details

- **NPI number:** 1851098412
- **Authorized official:** ERNEST SHIRVANIAN (CEO)
- **Authorized official phone:** (747) 235-3533

## Contact information

- **Practice address:** 17313 ROSCOE BLVD, NORTHRIDGE, CA 91325-3901
- **Practice address phone:** (747) 235-3535
- **Practice address fax:** (747) 224-1188
- **Mailing address:** 17313 ROSCOE BLVD, NORTHRIDGE, CA 91325-3901
- **Mailing address phone:** (747) 235-3535
- **Mailing address fax:** (747) 224-1188

## Taxonomy

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

## Other

- **Enumeration date:** 02/14/2023
- **Last updated:** 02/14/2023