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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