Organization
CHURCH CAPITAL LLC
Active
Other names
MEDICINE LAND PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARMEN MANOUKIAN RPH (MEMBER/PIC)
(818) 997-7000
Entity
Organization
Contact information
Practice address
7400 VAN NUYS BLVD, UNIT 101, VAN NUYS, CA 91405-1966
(818) 997-7000
(818) 997-7003
Mailing address
7400 VAN NUYS BLVD, UNIT 101, VAN NUYS, CA 91405-1966
(818) 997-7000
(818) 997-7003
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY51231
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY 51231
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-67199
NCPDP
CA
01
—
1295812345
MEDI-CAL PROVIDER NUMNER
CA
01
—
PHY51231
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
11/01/2006
Last updated
03/26/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up