Organization
PASEO PHARMACY LTD
Active
Other names
PASEO PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE SAROUGHIAN (PRESIDENT/OWNER)
(626) 564-1000
Entity
Organization
Contact information
Practice address
2237 E COLORADO BLVD, B104, PASADENA, CA 91107-3650
(626) 564-1000
(626) 583-8833
Mailing address
2237 E COLORADO BLVD, B104, PASADENA, CA 91107-3650
(626) 564-1001
(626) 583-8833
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 51907
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51907
CA
3336C0004X
Compounding Pharmacy
PHY 51907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-66325
NCPDP
CA
01
—
PHY 51907
BOARD OF PHARMACY PERMIT
CA
Enumeration date
11/30/2005
Last updated
02/05/2015
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