| 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 |