Provider Demographics
NPI:1639931157
Name:AH CARE RX INC
Entity Type:Organization
Organization Name:AH CARE RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAYKARAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-666-1700
Mailing Address - Street 1:5315 LAUREL CANYON BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-4915
Mailing Address - Country:US
Mailing Address - Phone:747-666-1700
Mailing Address - Fax:
Practice Address - Street 1:5315 LAUREL CANYON BLVD STE 104
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-4915
Practice Address - Country:US
Practice Address - Phone:747-666-1700
Practice Address - Fax:747-666-1710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59349OtherBOARD OF PHARMACY