Provider Demographics
NPI:1326732538
Name:AVS HEALTHCARE INC
Entity Type:Organization
Organization Name:AVS HEALTHCARE INC
Other - Org Name:TARZANA VALLEY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO/PIC
Authorized Official - Prefix:
Authorized Official - First Name:AVEDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-650-0600
Mailing Address - Street 1:18425 BURBANK BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2812
Mailing Address - Country:US
Mailing Address - Phone:818-650-0600
Mailing Address - Fax:818-650-0030
Practice Address - Street 1:18425 BURBANK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-2812
Practice Address - Country:US
Practice Address - Phone:818-650-0600
Practice Address - Fax:818-650-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59083OtherBOARD OF PHARMACY