Organization
ASTRAL PHARMACY INC
Active
Other names
ASTRAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GAYANE KIRAKOSYAN PH.D (PRESIDENT)
(323) 466-9931
Entity
Organization
Contact information
Practice address
6368 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-6320
(323) 466-9931
(323) 466-9932
Mailing address
PO BOX 4070, BURBANK, CA 91503-4070
(323) 466-9931
(323) 466-9932
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY42171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0572140
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA421710
—
CA
Enumeration date
09/16/2005
Last updated
09/06/2012
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