Provider Demographics
NPI:1477670370
Name:HEALTH PRO PHARMACEUTICAL
Entity Type:Organization
Organization Name:HEALTH PRO PHARMACEUTICAL
Other - Org Name:BELLAIRE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:818-765-1025
Mailing Address - Street 1:12650 SHERMAN WAY
Mailing Address - Street 2:#9
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-5232
Mailing Address - Country:US
Mailing Address - Phone:818-765-1025
Mailing Address - Fax:818-765-1047
Practice Address - Street 1:12650 SHERMAN WAY
Practice Address - Street 2:#9
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-5232
Practice Address - Country:US
Practice Address - Phone:818-765-1025
Practice Address - Fax:818-765-1047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY48439333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy