Organization · Type 2 NPI

Central Drugs & Medical Supply, Llc.

Community/Retail Pharmacy · Glendale, CA

NPI number 1871693804 Active

Practice location

1510 South Central Avenue Ste 110
Glendale, CA 91204

Fax (818) 247-3076

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY35919 (CA)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1871693804
Entity type: Organization (Type 2)
Issued: Sep 22, 2006
Last updated: Feb 18, 2020
Status: Active

Other names

<unavail>
Memorial Medical Pharmacy · doing business as
Memorial Medical Pharmacy · doing business as

Authorized official

Zohrab Khacheryan, PharmD
Owner/pharmacist In Charge
(323) 333-4074

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1871693804

Central Drugs & Medical Supply, Llc.'s National Provider Identifier is 1871693804, issued on Sep 22, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Glendale, CA. The record was last updated on Feb 18, 2020.