Organization
LV PHARMACY INC
Active
Other names
LV PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE KRGATBASHYAN (PRESIDENT/CEO)
(818) 646-0627
Entity
Organization
Contact information
Practice address
14100 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423-1119
(818) 646-0627
(818) 646-0628
Mailing address
14100 MAGNOLIA BLVD, SHERMAN OAKS, CA 91423-1119
(818) 646-0627
(818) 646-0628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58756
BOARD OF PHARMACY
CA
Enumeration date
08/31/2022
Last updated
08/31/2022
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