Provider Demographics
NPI:1629314109
Name:STERLING PHARMACY, INC.
Entity Type:Organization
Organization Name:STERLING PHARMACY, INC.
Other - Org Name:STERLING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABASSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-407-4415
Mailing Address - Street 1:2315 KUEHNER DR
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93063-3900
Mailing Address - Country:US
Mailing Address - Phone:866-407-4415
Mailing Address - Fax:
Practice Address - Street 1:2315 KUEHNER DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93063-3900
Practice Address - Country:US
Practice Address - Phone:866-407-4415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51201333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy