Organization
ULTIMATE PHARMACY INC
Active
Other names
ULTIMATE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRINA SADOVSKY RPH (PRESIDENT/PIC)
(818) 849-3303
Entity
Organization
Contact information
Practice address
16438 VANOWEN ST, UNIT 201, VAN NUYS, CA 91406-4759
(818) 849-3303
(818) 849-3304
Mailing address
16438 VANOWEN ST, UNIT 201, VAN NUYS, CA 91406-4759
(818) 849-3303
(818) 849-3304
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 51497
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY 51497
CA
3336S0011X
Specialty Pharmacy
PHY 51497
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56-49112
NCPDP
CA
01
—
PHY 51497
BOARD OF PHARMACY PERMIT
CA
Enumeration date
09/12/2013
Last updated
06/26/2014
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