Organization
4 LIFE RX INC
Active
Organization
4 LIFE RX INC
Active
Other names
4 LIFE RX
Organization subpart
No
Provider details
NPI number
Authorized official
VAHE GEORGE GARIBIAN (CEO)
(818) 342-2636
Entity
Organization
Contact information
Practice address
19554 VENTURA BLVD, TARZANA, CA 91356-2917
(818) 342-2636
(818) 342-3380
Mailing address
19554 VENTURA BLVD, TARZANA, CA 91356-2917
(818) 342-2636
(818) 342-3380
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45089
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996798
PK
—
05
—
PHA450890
—
CA
Enumeration date
10/07/2006
Last updated
03/23/2017
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