Organization
CENTRAL AVE PHARMACY INC
Active
Organization
CENTRAL AVE PHARMACY INC
Active
Other names
CENTRAL AVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
HRACH YOUSEFIAN (OWNER)
(818) 242-8838
Entity
Organization
Contact information
Practice address
119 W CALIFORNIA AVE, GLENDALE, CA 91203-2211
(818) 242-8838
(818) 242-8837
Mailing address
119 WEST CALIFORNIA AVE, GLENDALE, CA 91203
(818) 242-8838
(818) 242-8837
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY39363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2067006
PK
—
05
—
PHA393630
—
CA
Enumeration date
03/15/2007
Last updated
09/19/2025
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