Provider Demographics
NPI:1811383441
Name:ALLIED HEALTH PARTNER INC
Entity Type:Organization
Organization Name:ALLIED HEALTH PARTNER INC
Other - Org Name:ALLIED HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/PIC
Authorized Official - Prefix:DR
Authorized Official - First Name:KORUSH
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-290-8465
Mailing Address - Street 1:14659 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1622
Mailing Address - Country:US
Mailing Address - Phone:818-290-8465
Mailing Address - Fax:818-290-8466
Practice Address - Street 1:14659 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1622
Practice Address - Country:US
Practice Address - Phone:818-290-8465
Practice Address - Fax:818-290-8466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY525013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 52501OtherRETAIL PHARMACY PERMIT