Provider Demographics
NPI:1700687407
Name:AVRX
Entity type:Organization
Organization Name:AVRX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUZY
Authorized Official - Middle Name:
Authorized Official - Last Name:AIVAZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-718-4024
Mailing Address - Street 1:44116 10TH ST W STE 109
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-4237
Mailing Address - Country:US
Mailing Address - Phone:661-718-4024
Mailing Address - Fax:661-718-4025
Practice Address - Street 1:44116 10TH ST W STE 109
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4237
Practice Address - Country:US
Practice Address - Phone:661-718-4024
Practice Address - Fax:661-718-4025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy