| NPI | 1225026594 |
|---|---|
| Doing Business As | WESTERN AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ARTHUR AVETISYAN CEO/Sec/CFO/Dir/President 818-242-5887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2023-10-10 |