Organization
GOLDEN STATE SPECIALTY PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMEN APOYAN (CFO)
(888) 658-0801
Entity
Organization
Contact information
Practice address
325 N VICTORY BLVD, BURBANK, CA 91502-1841
(888) 658-0801
Mailing address
325 N VICTORY BLVD, BURBANK, CA 91502-1841
(888) 658-0801
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY54580
CA
3336C0003X
Community/Retail Pharmacy
PHY54580
CA
3336L0003X
Long Term Care Pharmacy
PHY54580
CA
3336M0002X
Mail Order Pharmacy
PHY54580
CA
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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