Organization
BEVERLY PLAZA RX INC
Active
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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