Organization
GROVE RX INC
Active
Other names
GROVE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ARMAN POGOSSIAN (PRESIDENT/CEO)
(626) 390-4011
Entity
Organization
Contact information
Practice address
655 N FAIR OAKS AVE, PASADENA, CA 91103-3383
(626) 390-4011
(626) 640-3072
Mailing address
655 N FAIR OAKS AVE, PASADENA, CA 91103-3383
(626) 390-4011
(626) 640-3072
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59158
BOARD OF PHARMACY
CA
Enumeration date
01/10/2019
Last updated
08/08/2024
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