Organization
AVG INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA GEVORKYAN (PRESIDENT)
(559) 222-6276
Entity
Organization
Contact information
Practice address
2484 E GETTYSBURG AVE, FRESNO, CA 93726-0322
(559) 222-6276
(559) 222-4388
Mailing address
2484 E GETTYSBURG AVE, FRESNO, CA 93726-0322
(559) 222-6276
(559) 222-4388
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA471720
—
CA
Enumeration date
10/26/2006
Last updated
08/22/2020
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