Organization
SOCIK DIKRAN
Active
Other names
DRUG CENTER PHARMACY II
Organization subpart
No
Provider details
NPI number
Authorized official
SOCIK DIKRAN (PIC OWNER)
(818) 507-8466
Entity
Organization
Contact information
Practice address
1530 E CHEVY CHASE DR, GLENDALE, CA 91206-4163
(818) 507-8466
(818) 507-0241
Mailing address
1530 E CHEVY CHASE DR, SUITE 102, GLENDALE, CA 91206-4163
(818) 507-8466
(818) 507-0241
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY45136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992314
PK
—
05
—
PHA451360
—
CA
Enumeration date
11/21/2006
Last updated
10/04/2016
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