Organization
MONTROSE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJMIN SHAHMIRZAYAN PHARM D (PRESIDENT/CEO)
(818) 759-5533
Entity
Organization
Contact information
Practice address
2944 HONOLULU AVE, GLENDALE, CA 91214-3909
(818) 759-5533
(818) 643-2001
Mailing address
2944 HONOLULU AVE, GLENDALE, CA 91214-3909
(818) 759-5533
(818) 643-2001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59408
BOARD OF PHARMACY
CA
Enumeration date
08/26/2022
Last updated
04/22/2024
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