Organization
GOODFELLOW PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MKRTICH DISHIGRIKIAN (CPA)
(818) 754-0949
Entity
Organization
Contact information
Practice address
12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
(818) 754-0949
(818) 754-0944
Mailing address
12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
(818) 754-0949
(818) 754-0944
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA410310
—
CA
Enumeration date
11/01/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us