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Organization

ASAP RX CORP

Active
Other names
ASAP Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VAHE GAREN SIMONIAN PHARM. D. (PHARMACIST)
(818) 543-1800
Entity
Organization

Contact information

Practice address
1340 E WILSON AVE, GLENDALE, CA 91206-4632
(818) 543-1800
(818) 553-1900
Mailing address
1340 E WILSON AVE, GLENDALE, CA 91206-4632
(818) 543-1800
(818) 553-1900

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY 55466
CA
3336L0003X
Long Term Care Pharmacy
PHY 55466
CA
3336S0011X
Specialty Pharmacy
PHY 55466
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5560280001
MEDICARE PTAN PROVIDER
CA
01
5614690
NCPDP OR NABP
CA
01
PHY 55466
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
10/11/2006
Last updated
12/31/2021
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