Organization
FIVE STAR RX INC
Active
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
Update your record
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