Organization
FIVE STAR RX INC
Active
Other names
FIVE STAR PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA V. SADOVSKY (PRESIDENT/PIC)
(818) 786-0227
Entity
Organization
Contact information
Practice address
16438 VANOWEN ST, UNIT 101, VAN NUYS, CA 91406-4733
(818) 786-0227
(818) 786-0312
Mailing address
16438 VANOWEN ST, UNIT 101, VAN NUYS, CA 91406-4733
(818) 786-0227
(818) 786-0312
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 49145
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 49145
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0578887
NABP
CA
01
—
1194855908
MEDI-CAL PROVIDER NUMBER
CA
01
—
PHY 49145
PHARMACY PERMIT
CA
Enumeration date
03/07/2007
Last updated
03/07/2023
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