# GOODFELLOW PHARMACY

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

## Provider details

- **NPI number:** 1992882286
- **Authorized official:** MR. MKRTICH DISHIGRIKIAN (CPA)
- **Authorized official phone:** (818) 754-0949

## Contact information

- **Practice address:** 12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
- **Practice address phone:** (818) 754-0949
- **Practice address fax:** (818) 754-0944
- **Mailing address:** 12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
- **Mailing address phone:** (818) 754-0949
- **Mailing address fax:** (818) 754-0944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 09/11/2025
