Organization
DR IKE INC
Active
Organization
DR IKE INC
Active
Other names
Dr. Ike's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AYK DZHRAGATSPANYAN (PRES/PIC)
(818) 419-2514
Entity
Organization
Contact information
Practice address
11736 VENTURA BLVD, STUDIO CITY, CA 91604-2615
(818) 980-3311
(818) 980-3735
Mailing address
11736 VENTURA BLVD, STUDIO CITY, CA 91604-2615
(818) 980-3311
(818) 980-3735
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5637888
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
05/12/2010
Last updated
04/25/2012
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