Organization
ARROW-MED RX INC
Active
Other names
JANA HEALTHCARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDR AKOPNIK (PRESIDENT/OWNER)
(323) 836-0007
Entity
Organization
Contact information
Practice address
5233 MELROSE AVE, LOS ANGELES, CA 90038-3144
(323) 836-0007
(323) 962-3404
Mailing address
5233 MELROSE AVE, LOS ANGELES, CA 90038-3144
(323) 836-0007
(323) 962-3404
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50759
CA
3336L0003X
Long Term Care Pharmacy
Primary
PHY 50759
CA
3336S0011X
Specialty Pharmacy
PHY 50759
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912149543
MEDICAL PROVIDER NUMBER
CA
01
—
56-34111
NCPDP
CA
01
—
PHY50759
CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
03/27/2009
Last updated
03/07/2023
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