Organization
LGDM
Active
Parent organization
JEWEL PHARMACY
Other names
JEWEL PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEWEL PHARMACY
Authorized official
GARY JOHN GEVORKIAN PHARM D (PIC)
(818) 853-2800
Entity
Organization
Contact information
Practice address
800 S CENTRAL AVE STE 101A, GLENDALE, CA 91204-4375
(818) 319-3046
Mailing address
800 S CENTRAL AVE STE 101A, GLENDALE, CA 91204-4375
(818) 319-3046
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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