Provider Demographics
NPI:1114500550
Name:MONARCH PHARMACEUTICAL MANAGEMENT , INC
Entity Type:Organization
Organization Name:MONARCH PHARMACEUTICAL MANAGEMENT , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/CFO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAMTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:YAZDI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:323-749-7649
Mailing Address - Street 1:7900 PACIFIC BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:WALNUT PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-6663
Mailing Address - Country:US
Mailing Address - Phone:323-749-7649
Mailing Address - Fax:323-749-7621
Practice Address - Street 1:7900 PACIFIC BLVD STE B
Practice Address - Street 2:
Practice Address - City:WALNUT PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-6663
Practice Address - Country:US
Practice Address - Phone:323-749-7649
Practice Address - Fax:323-749-7621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58121OtherBOARD OF PHARMACY