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Lgdm

Pharmacy, Community/Retail Pharmacy in Glendale, CA. Organization (NPI-2).

NPI number1235897331
StatusActive
Last updated in NPPESDec 6, 2021

Details

NPI
1235897331
Entity type
Organization (NPI-2)
Legal business name
Lgdm
Organization subpart
No
Enumeration date
Dec 6, 2021
Certification date
Dec 6, 2021
Last updated
Dec 6, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Other names

  • Jewel City Pharmacy (Doing Business As)

Practice location

800 S Central Ave Ste 101a
Glendale, CA 91204-4375

Phone 818-853-2880 · Fax 818-853-2881

Mailing address

800 S Central Ave Ste 101a
Glendale, CA 91204-4375

Phone 818-853-2880 · Fax 818-853-2881

Authorized official

Gary Gevorkian
Owner
8188532880

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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