Provider Demographics
NPI:1346610284
Name:PET RUSH INC
Entity Type:Organization
Organization Name:PET RUSH INC
Other - Org Name:PET RUSH MED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MS
Authorized Official - First Name:MELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARAPEDIAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:844-738-7874
Mailing Address - Street 1:1040 W KENNETH RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-1425
Mailing Address - Country:US
Mailing Address - Phone:844-738-7874
Mailing Address - Fax:
Practice Address - Street 1:1040 W KENNETH RD
Practice Address - Street 2:SUITE #1
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-1425
Practice Address - Country:US
Practice Address - Phone:844-738-7874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA524163336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy