Organization
KOVACS PHARMACY INC
Active
Other names
Kovac's Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IRINA PUSTILNIKOVA (OWNER)
(818) 786-2660
Entity
Organization
Contact information
Practice address
14423 GILMORE ST, VAN NUYS, CA 91401-1430
(818) 786-2660
(818) 782-3100
Mailing address
14423 GILMORE ST, VAN NUYS, CA 91401-1430
(818) 786-2660
(818) 782-3100
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
PHY49968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0502408
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
08/16/2006
Last updated
12/31/2012
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