<Unavail>

LBN: Supreme Care Pharmacy, Inc.
<Unavail> is an health care organization with primary practice located at 6007 Lankershim Blvd #7, North Hollywood CA 91606-4883. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Supreme Care Pharmacy, Inc. can be contacted via phone (818) 763-7007, or through Grigoryan, Gevorg via phone (818) 763-7007.

Contact Information

Primary practice address
6007 Lankershim Blvd #7 North Hollywood CA 91606-4883
Fax: (818) 763-7006
Website:
Authorized official contact:
Name: Grigoryan, Gevorg

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHY 53878 California

Profile Details

NPI number 1417322736
LBN Legal business name Supreme Care Pharmacy, Inc.
DBA Doing business as <Unavail>
Authorized official Grigoryan, Gevorg
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2015
Last updated Nov 4th, 2025 - about last year

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 1417322736 NPPES
California Other PHY53878 CALLFORNIA STATE BOARD OF PHARMACY
California MEDICAID 1417322736 CALLFORNIA STATE BOARD OF PHARMACY
California Other 56-58096 CALLFORNIA STATE BOARD OF PHARMACY

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