Provider Demographics
NPI:1831997469
Name:HKC PHARMACY CO
Entity type:Organization
Organization Name:HKC PHARMACY CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HEDIEH
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDAVI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:818-486-6770
Mailing Address - Street 1:9002 TAMPA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3523
Mailing Address - Country:US
Mailing Address - Phone:818-818-6077
Mailing Address - Fax:
Practice Address - Street 1:9002 TAMPA AVE
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3523
Practice Address - Country:US
Practice Address - Phone:818-818-6077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy