Organization
GLENDALE COMMUNITY CARE PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VARDUI PNDLYAN (OWNER)
(818) 268-8833
Entity
Organization
Contact information
Practice address
818 N. PACIFIC AVE, SUITE B, GLENDALE, CA 91203-3632
(818) 956-0044
(818) 956-0042
Mailing address
818 N. PACIFIC AVE, SUITE B, GLENDALE, CA 91203-3632
(818) 956-0044
(818) 956-0042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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