NPI | 1023142734 |
---|---|
Doing Business As | CENTRAL AVE PHARMACY |
Entity Type | Organization |
Authorized Contact | HRACH YOUSEFIAN Owner 818-242-8838 |
Organization Subpart ? | No |
Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY39363) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
333600000X Pharmacy | |
Enumeration Date | 2007-03-15 |
Last Update Date | 2025-09-19 |