Organization
ALTERNATIVE THERAPIES PHCY INC
Active
Other names
PHOENIX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SORIN KAZANGIAN RPH (PIC)
(626) 791-7600
Entity
Organization
Contact information
Practice address
2523 E WASHINGTON BLVD, PASADENA, CA 91104-2044
(626) 791-7600
(626) 791-9165
Mailing address
2523 E WASHINGTON BLVD, PASADENA, CA 91104-2044
(626) 791-7600
(626) 791-9165
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY40981
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1991436
PK
—
05
—
PHA409810
—
CA
Enumeration date
06/19/2006
Last updated
03/13/2015
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