Organization
PRIMEMED PHARMACY INC
Active
Other names
PRIMEMED PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZAREH NAZARIAN (PRESIDENT/CEO)
(818) 600-0777
Entity
Organization
Contact information
Practice address
839 W GLENOAKS BLVD, GLENDALE, CA 91202-2133
(818) 600-0777
(818) 649-1052
Mailing address
839 W GLENOAKS BLVD, GLENDALE, CA 91202-2133
(818) 600-0777
(818) 649-1052
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY55643
BOARD OF PHARMACY
CA
Enumeration date
07/23/2024
Last updated
07/23/2024
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