| NPI | 1235908765 |
|---|---|
| Doing Business As | WESTERN AVE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ARTHUR AVETISYAN CEO 818-808-6855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |