Organization
EXPRESS CARE PHARMACY INC.
Active
Organization
EXPRESS CARE PHARMACY INC.
Active
Other names
Express Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKAYEL MIKAYELYAN (PRESIDENT)
(818) 244-3330
Entity
Organization
Contact information
Practice address
801 E BROADWAY, UNIT A, GLENDALE, CA 91205-4528
(818) 244-3330
(818) 244-5530
Mailing address
801 E BROADWAY, UNIT A, GLENDALE, CA 91205-4528
(818) 244-3330
(818) 244-5530
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50437
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50437
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05-75653
NABP NUMBER
CA
01
—
1821091596
MEDI-CAL PROVIDER NUMBER
CA
01
—
PHY 50437
CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
05/24/2005
Last updated
03/07/2023
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