Organization
PETROSSIAN PHARMACY INC
Active
Other names
PETROSSIAN PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NARBEH PETROSSIAN PHARM D (PRESIDENT/CEO)
(818) 433-7166
Entity
Organization
Contact information
Practice address
2701 W ALAMEDA AVE STE 100, BURBANK, CA 91505-4402
(818) 433-7166
(818) 433-7163
Mailing address
2701 W ALAMEDA AVE STE 100, BURBANK, CA 91505-4402
(818) 433-7166
(818) 433-7163
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58822
BOARD OF PHARMACY
CA
Enumeration date
11/16/2022
Last updated
11/16/2022
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