Organization
PASADENA CITY PHARMACY
Active
Other names
PASADENA CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA JEREDJIAN (PHARMD)
(626) 797-6661
Entity
Organization
Contact information
Practice address
1684 E WASHINGTON BLVD, PASADENA, CA 91104-2757
(626) 797-6661
(626) 797-9415
Mailing address
1684 E WASHINGTON BLVD, PASADENA, CA 91104-2757
(626) 797-6661
(626) 797-9415
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40826
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1996085
PK
—
05
—
PHA408260
—
CA
Enumeration date
08/20/2006
Last updated
11/14/2016
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