Organization
METHORDA LTD
Active
Other names
TriCare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HRATCHA BARDAKJIAN (DIRECTOR)
(818) 985-5005
Entity
Organization
Contact information
Practice address
13237 SATICOY ST STE 4, NORTH HOLLYWOOD, CA 91605-3435
(818) 317-6785
(818) 985-5005
Mailing address
13237 SATICOY ST STE 4, NORTH HOLLYWOOD, CA 91605-3435
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA466160
—
CA
Enumeration date
09/10/2010
Last updated
09/10/2010
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