Organization
PASEO RX INC
Active
Other names
Ararat Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL FENG PHARM.D (OWNER/PIC)
(626) 798-6789
Entity
Organization
Contact information
Practice address
1717 E WALNUT ST, PASADENA, CA 91106-1611
(626) 798-6789
(626) 798-8376
Mailing address
1717 E WALNUT ST, PASADENA, CA 91106-1611
(626) 798-6789
(626) 798-8376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
54471
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093702763
—
CA
01
—
2121732
PK
—
Enumeration date
09/28/2005
Last updated
03/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us