Organization
PHARMACIST HOLDING GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVORK SHAHE SHAHINIAN PHARM.D. (CEO/OWNER)
(818) 960-4664
Entity
Organization
Contact information
Practice address
9528 TOPANGA CYN BLVD, CHATSWORTH, CA 91311
(818) 960-4664
(818) 960-4660
Mailing address
9528 TOPANGA CYN BLVD, CHATSWORTH, CA 91311
(818) 960-4664
(818) 960-4660
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
55421
CA
3336C0003X
Community/Retail Pharmacy
PHY55421
CA
3336L0003X
Long Term Care Pharmacy
55421
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY55421
CA
Other
Enumeration date
03/02/2015
Last updated
01/29/2018
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