Organization
OLIVE AVENUE MEDICAL PHARMACY INC
Active
Organization
OLIVE AVENUE MEDICAL PHARMACY INC
Active
Other names
OLIVE AVENUE MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GRAFOS (OWNER AND PIC)
(818) 846-3144
Entity
Organization
Contact information
Practice address
1130 W OLIVE AVE, BURBANK, CA 91506-2214
(818) 846-3144
(818) 846-3838
Mailing address
1130 W OLIVE AVE, BURBANK, CA 91506-2214
(818) 846-3144
(818) 846-3838
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46307
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0529668
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA469070
—
CA
Enumeration date
08/06/2006
Last updated
07/13/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up