Organization
AV GRACE PHARMACY INC.
Active
Other names
AV Grace Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARLETTE NAZARIANS (CEO/SEC./DIR.)
(818) 624-7677
Entity
Organization
Contact information
Practice address
22874 VENTURA BLVD, WOODLAND HILLS, CA 91364-1203
(818) 805-3079
Mailing address
22874 VENTURA BLVD, WOODLAND HILLS, CA 91364-1203
(818) 805-3079
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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