Organization
UMACO INC
Active
Other names
Wilbur Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHE G APELIAN PHARM D (PRESIDENT)
(818) 342-0845
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE, SUITE 100, TARZANA, CA 91356-1351
(818) 342-0845
(818) 342-2599
Mailing address
5620 WILBUR AVE, SUITE 100, TARZANA, CA 91356-1351
(818) 342-0845
(818) 342-2599
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY34213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040034213
MEDCO HEALTH SOLNS
NJ
01
—
0592457
CA BLUE CROSS
CA
05
—
PHA342130
—
CA
Enumeration date
10/03/2006
Last updated
12/15/2009
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