Organization
BEVERLY PLAZA RX INC
Active
Other names
BEVERLY PLAZA RX INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAIS MELIKIAN (PRESIDENT/CEO/CFO/SECRETARY/DIRECTO)
(323) 725-7155
Entity
Organization
Contact information
Practice address
101 E BEVERLY BLVD STE 101, MONTEBELLO, CA 90640-4314
(323) 725-7155
(323) 725-7766
Mailing address
101 E BEVERLY BLVD STE 101, MONTEBELLO, CA 90640-4314
(323) 725-7155
(323) 725-7766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53865
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0508335
NCPDP
—
Enumeration date
08/16/2005
Last updated
03/07/2023
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