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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