Provider Demographics
NPI:1376148817
Name:NORTH STAR PHARMACY
Entity Type:Organization
Organization Name:NORTH STAR PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTAK
Authorized Official - Middle Name:
Authorized Official - Last Name:VARTANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-296-6205
Mailing Address - Street 1:6025 N FIGUEROA ST STE F
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-1367
Mailing Address - Country:US
Mailing Address - Phone:747-296-6205
Mailing Address - Fax:
Practice Address - Street 1:6025 N FIGUEROA ST STE F
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-1367
Practice Address - Country:US
Practice Address - Phone:747-296-6205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy