Organization
PHANTASTIC PHARMACY INC
Active
Other names
PHANTASTIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALEK TOROSYAN (PRESIDENT)
(818) 849-5992
Entity
Organization
Contact information
Practice address
4347 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-3727
(818) 849-5992
(818) 849-5918
Mailing address
4347 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-3727
(818) 849-5992
(818) 849-5918
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2167337
PK
—
Enumeration date
01/25/2017
Last updated
03/27/2023
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