Organization
HEALTH GUARD RX INC
Active
Other names
HEALTH GUARD PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROMELIYA SHIRVANYAN (PRESIDENT)
(323) 222-8882
Entity
Organization
Contact information
Practice address
2355 HONOLULU AVE, MONTROSE, CA 91020-2500
(323) 222-8882
(323) 222-6686
Mailing address
2355 HONOLULU AVE, MONTROSE, CA 91020-2500
(323) 222-8882
(323) 222-6686
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY 50467
CA
3336C0003X
Community/Retail Pharmacy
PHY 50467
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57967
RETAIL PHARMACY PERMIT
CA
Enumeration date
11/11/2010
Last updated
11/06/2020
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