Organization
CENTRAL DRUGS & MEDICAL SUPPLY, LLC.
Active
Other names
MEMORIAL MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ZOHRAB KHACHERYAN PHARM.D. (OWNER/PHARMACIST IN CHARGE)
(323) 333-4074
Entity
Organization
Contact information
Practice address
1510 SOUTH CENTRAL AVENUE STE 110, GLENDALE, CA 91204
(818) 247-0526
(818) 247-3076
Mailing address
1510 SOUTH CENTRAL AVENUE STE 110, GLENDALE, CA 91204
(818) 247-0526
(818) 247-3076
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY35919
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0500656
NABP
CA
Enumeration date
09/22/2006
Last updated
02/18/2020
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