Provider Demographics
NPI:1841050416
Name:PHARMACY EXPRESS CARE
Entity type:Organization
Organization Name:PHARMACY EXPRESS CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/SECRETARY/DIR
Authorized Official - Prefix:
Authorized Official - First Name:HOVHANES
Authorized Official - Middle Name:
Authorized Official - Last Name:KARTOUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-994-9292
Mailing Address - Street 1:11510 ZELZAH AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2019
Mailing Address - Country:US
Mailing Address - Phone:949-994-9292
Mailing Address - Fax:949-994-6222
Practice Address - Street 1:936 W AVENUE J4 STE 101A
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4246
Practice Address - Country:US
Practice Address - Phone:949-994-9292
Practice Address - Fax:949-994-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59067OtherBOARD OF PHARMACY