Provider Demographics
NPI:1497485833
Name:EMW PHARMACY INC
Entity Type:Organization
Organization Name:EMW PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAIK
Authorized Official - Middle Name:HARRY
Authorized Official - Last Name:GEDJEYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-818-6469
Mailing Address - Street 1:19520 NORDHOFF ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-2454
Mailing Address - Country:US
Mailing Address - Phone:818-818-6469
Mailing Address - Fax:323-701-0704
Practice Address - Street 1:19520 NORDHOFF ST STE 2
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-2454
Practice Address - Country:US
Practice Address - Phone:818-818-6469
Practice Address - Fax:323-701-0704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58717OtherBOARD OF PHARMACY