Organization
MARGARITA KAZARIAN
Active
Other names
ADAMS SQUARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA PEREZ (MGR)
(818) 242-1731
Entity
Organization
Contact information
Practice address
1122A E CHEVY CHASE DR, GLENDALE, CA 91205-2511
(818) 242-1731
(818) 242-6874
Mailing address
1122A E CHEVY CHASE DR, GLENDALE, CA 91205-2511
(818) 242-1731
(818) 242-6874
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0516700
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA408330
—
CA
Enumeration date
09/22/2006
Last updated
10/28/2010
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