Organization
METRO PHARMACY INC
Active
Other names
METRO LEGACY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VARDGES MKRTCHYAN (PRESIDENT/CEO)
(818) 891-1907
Entity
Organization
Contact information
Practice address
8660 WOODLEY AVE STE 102, NORTH HILLS, CA 91343-5749
(818) 891-1907
(818) 891-1905
Mailing address
8660 WOODLEY AVE STE 102, NORTH HILLS, CA 91343-5749
(818) 891-1907
(818) 891-1905
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59062
BOARD OF PHARMACY
CA
Enumeration date
10/16/2023
Last updated
10/16/2023
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