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Organization
A G & Y ENTERPRISES, INC.
Active
Organization
A G & Y ENTERPRISES, INC.
Active
Other names
OWL WESTERN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MAGED GINDI (CFO/RPH)
(626) 209-8160
Entity
Organization
Contact information
Practice address
1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
(626) 209-8160
(626) 209-8172
Mailing address
1009 W SAN BERNARDINO RD, COVINA, CA 91722-4106
(626) 209-8160
(626) 209-8172
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
50226
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
50226
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
50226
CA
3336H0001X
Home Infusion Therapy Pharmacy
50226
CA
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
50226
CA
335E00000X
Prosthetic/Orthotic Supplier
50226
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851615363
—
CA
01
—
5637662
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
LSC 100893
STERILE COMPOUNDING LICENSE
CA
01
—
PHY 53855
BOARD OF PHARMACY LICENSE
CA
Enumeration date
03/26/2010
Last updated
03/07/2023
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