Organization
CARRIES PHARMACY INC
Active
Other names
Carrie's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SIRANUSH KRGATBASHYAN (PRESIDENT/OWNER)
(818) 543-0240
Entity
Organization
Contact information
Practice address
501 N GLENOAKS BLVD, BURBANK, CA 91502-1123
(818) 567-1114
(818) 567-1115
Mailing address
501 N GLENOAKS BLVD, BURBANK, CA 91502-1123
(818) 567-1114
(818) 567-1115
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50474
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659527224
—
CA
01
—
5631418
NCPDP PROVIDER IDENTIFICATION NUMBER
—
01
—
PHY50474
CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
08/14/2008
Last updated
12/09/2010
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