Organization
GHST RX INC
Active
Other names
CENTRAL CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALISA KAPUTIKYAN (PRESIDENT/CEO)
(818) 386-1888
Entity
Organization
Contact information
Practice address
16260 VENTURA BLVD STE 100, ENCINO, CA 91436-2207
(818) 386-1888
(818) 386-1188
Mailing address
16260 VENTURA BLVD STE 100, ENCINO, CA 91436-2207
(818) 386-1888
(818) 386-1188
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59069
BOARD OF PHARMACY
CA
Enumeration date
03/01/2021
Last updated
03/27/2024
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