Provider Demographics
NPI:1417333782
Name:BETTER HEALTH PHARMACY & MEDICAL SUPPLY
Entity Type:Organization
Organization Name:BETTER HEALTH PHARMACY & MEDICAL SUPPLY
Other - Org Name:BETTER HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:VAHAGUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-353-6666
Mailing Address - Street 1:7802 FOOTHILL BLVD
Mailing Address - Street 2:UNIT G
Mailing Address - City:SUNLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91040-2993
Mailing Address - Country:US
Mailing Address - Phone:818-353-6666
Mailing Address - Fax:818-353-6660
Practice Address - Street 1:7802 FOOTHILL BLVD
Practice Address - Street 2:UNIT G
Practice Address - City:SUNLAND
Practice Address - State:CA
Practice Address - Zip Code:91040-2993
Practice Address - Country:US
Practice Address - Phone:818-353-6666
Practice Address - Fax:818-353-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-10
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1417333782Medicaid
CA1417333782Medicaid