<Unavail>

LBN: 4 Life Rx Inc
<Unavail> is an health care organization with primary practice located at 19554 Ventura Blvd , Tarzana CA 91356-2917. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. 4 Life Rx Inc can be contacted via phone (818) 342-2636, or through Garibian, Vahe George via phone (818) 342-2636.

Contact Information

Primary practice address
19554 Ventura Blvd Tarzana CA 91356-2917
Phone: (818) 342-2636
Fax: (818) 342-3380
Website:
Map and Directions
Authorized official contact:
Name: Garibian, Vahe George
Phone: (818) 342-2636

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X PHY45089 California

Profile Details

NPI number 1275620460
LBN Legal business name 4 Life Rx Inc
DBA Doing business as <Unavail>
Authorized official Garibian, Vahe George
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2006
Last updated Mar 23rd, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275620460 NPPES
California MEDICAID PHA450890
California Other 1996798

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