Organization
ERNA INC
Active
Other names
san judas pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERNA SUDZHYAN (PRESIDENT)
(213) 389-5858
Entity
Organization
Contact information
Practice address
2201 W PICO BLVD STE G, LOS ANGELES, CA 90006-4837
(213) 389-5858
(213) 389-5800
Mailing address
2201 W PICO BLVD STE G, LOS ANGELES, CA 90006-4837
(213) 389-5858
(213) 389-5800
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
50717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5642500
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/14/2011
Last updated
08/24/2012
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