Provider Demographics
NPI:1568772176
Name:MZP DRUGS INC
Entity Type:Organization
Organization Name:MZP DRUGS INC
Other - Org Name:GLENDALE MEDZONE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NUSHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMAMJYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-243-6605
Mailing Address - Street 1:418 E GLENOAKS BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-2014
Mailing Address - Country:US
Mailing Address - Phone:818-503-6982
Mailing Address - Fax:818-344-4719
Practice Address - Street 1:418 E GLENOAKS BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-2014
Practice Address - Country:US
Practice Address - Phone:818-503-6982
Practice Address - Fax:818-344-4719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-15
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA504023336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5639147OtherNCPDP PROVIDER IDENTIFICATION NUMBER