Organization
PEACHLAND PHARMACY, INC.
Active
Other names
VALENCIA PHARMACY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
ARAM PENARANDA (CFO/OWNER)
(619) 962-2043
Entity
Organization
Contact information
Practice address
25050 PEACHLAND AVE #102, NEWHALL, CA 91321
(661) 225-7910
(661) 255-6798
Mailing address
25050 PEACHLAND AVE #102, NEWHALL, CA 91321
(619) 962-2043
(661) 255-6798
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
PHY 48891
CA
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0526600
NCPDP
—
Enumeration date
11/27/2006
Last updated
11/06/2023
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