Organization
PRAEVALEO INC.
Active
Other names
SORRENTO SPECIALTY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HAIRAPETIAN (CEO)
(888) 266-1165
Entity
Organization
Contact information
Practice address
500 N BRAND BLVD STE 490, GLENDALE, CA 91203-1923
(888) 266-1165
(818) 279-2540
Mailing address
500 N BRAND BLVD STE 490, GLENDALE, CA 91203-1923
(888) 266-1165
(818) 279-2540
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
05/14/2025
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