Provider Demographics
NPI:1508374430
Name:DR PHARMACY RX INC
Entity Type:Organization
Organization Name:DR PHARMACY RX INC
Other - Org Name:DR PHARMACY RX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HAKOP
Authorized Official - Middle Name:
Authorized Official - Last Name:FSTKCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-456-4274
Mailing Address - Street 1:5733 LAS VIRGENES RD STE A
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1231
Mailing Address - Country:US
Mailing Address - Phone:818-456-4274
Mailing Address - Fax:818-456-4273
Practice Address - Street 1:5733 LAS VIRGENES RD STE A
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1231
Practice Address - Country:US
Practice Address - Phone:818-456-4274
Practice Address - Fax:818-456-4273
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA57217OtherSTATE BOARD OF PHARMACY