Organization
ABC PHARMACY INC
Active
Organization
ABC PHARMACY INC
Active
Other names
ABC Compounding Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ARKAIDY KHAMIOV (PIC)
(323) 363-7250
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, STE 110, ENCINO, CA 91436-2124
(818) 783-0422
(818) 783-0423
Mailing address
16311 VENTURA BLVD, STE 110, ENCINO, CA 91436-2124
(818) 783-0422
(818) 783-0423
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY49183
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629224381
—
CA
01
—
2117000
PK
—
Enumeration date
08/13/2008
Last updated
09/19/2025
Update your record
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