Organization
IVY PHARMACY
Active
Other names
IVY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALI BAGHERI (PRESIDENT/CEO)
(423) 747-8118
Entity
Organization
Contact information
Practice address
315 W VERDUGO AVE STE A, BURBANK, CA 91502-2469
(423) 747-8118
(424) 303-7854
Mailing address
315 W VERDUGO AVE STE A, BURBANK, CA 91502-2469
(423) 747-8118
(424) 303-7854
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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