Organization
ARDEN DRUGS INC
Active
Other names
Arden Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KAMBIZ FARZAMDOOST (PRESIDENT/PIC)
(818) 247-1842
Entity
Organization
Contact information
Practice address
435 ARDEN AVE, STE 110, GLENDALE, CA 91203-1130
(818) 247-1842
(818) 247-9059
Mailing address
435 ARDEN AVE, STE 110, GLENDALE, CA 91203-1130
(818) 247-1842
(818) 247-9059
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2154688
PK
—
05
—
PHA53636
—
CA
Enumeration date
12/17/2006
Last updated
04/17/2017
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