NPI | 1346614203 |
---|---|
Doing Business As | GLENVISTA PHARMACY |
Entity Type | Organization |
Authorized Contact | ASHINEH MEHRABIAN President/PIC 818-201-2900 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY53906) |
3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: CA PHY 53906) | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2015-11-16 |
Last Update Date | 2019-06-26 |