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Organization

HEP PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NAZIK NANCY SIMONIAN (CEO/AO)
(818) 757-8977
Entity
Organization

Contact information

Practice address
19530 VENTURA BLVD, TARZANA, CA 91356-2917
(818) 757-8977
(818) 757-8979
Mailing address
19530 VENTURA BLVD, TARZANA, CA 91356-2917
(818) 757-8977
(818) 757-8978

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
3336C0003X
Community/Retail Pharmacy
Primary
55709
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0520874
NCPDP
CA
05
1871594473
CA
01
2134708
PK
01
55709
STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
08/03/2005
Last updated
02/27/2023
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