Organization
ST JOSEPH PHARMACY INC
Active
Other names
ST JOSEPH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MINAS NORDANYAN (PRESIDENT/OWNER)
(818) 736-5290
Entity
Organization
Contact information
Practice address
2519 W BURBANK BLVD, BURBANK, CA 91505-2302
(818) 736-5290
(818) 736-5276
Mailing address
2519 W BURBANK BLVD, BURBANK, CA 91505-2302
(818) 736-5290
(818) 736-5276
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY51921
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0519352
NCPDP
—
01
—
PHY51921
BOARD OF PHARMACY PERMIT
CA
Enumeration date
05/01/2007
Last updated
03/16/2015
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