Goodfellow Pharmacy

LBN: Goodfellow Pharmacy

Goodfellow Pharmacy is an health care organization with primary practice located at 12157 Victory Blvd , North Hollywood CA 91606-3204. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Goodfellow Pharmacy can be contacted via phone (818) 754-0949, or through Dishigrikian, Mkrtich via phone (818) 754-0949.

Contact Information

Primary practice address

12157 Victory Blvd North Hollywood CA 91606-3204

Phone: (818) 754-0949

Fax: (818) 754-0944

Website:

Map and Directions

Authorized official contact:

Name: Dishigrikian, Mkrtich

Phone: (818) 754-0949

Health care specialties

Specialty	Code	License #	State
Suppliers / Durable Medical Equipment & Medical Supplies	332B00000X
Suppliers / Community/Retail Pharmacy	3336C0003X

Profile Details

NPI number	1992882286
LBN Legal business name	Goodfellow Pharmacy
DBA Doing business as
Authorized official	Dishigrikian, Mkrtich
Entity	Organization
Organization subpart ¹	No
Enumeration date	Nov 1st, 2006
Last updated	Jul 21st, 2022 - about 4 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

State	Type	Number	Issuer
All States	NPI	1992882286	NPPES
California	MEDICAID	PHA410310

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