MEDICARE: DRUGS R US,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PHY55261	CA

General Provider Information

NPI Number	:	1164960498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUGS R US,INC.

Provider Business Mailing Address
First Line	:	16229 DEVONSHIRE ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-6910
Country	:	US
Telephone Number	:	818-360-0206
Fax Number	:	818-360-0224

Provider Business Practice Location Address
First Line	:	16229 DEVONSHIRE ST
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-6910
Country	:	US
Telephone Number	:	818-360-0206
Fax Number	:	818-360-0224

Authorized Official
Title or Position	:	OWNER
Name	:	NAZIK VARDANYAN
Credential	:
Telephone Number	:	818-681-9222

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	02/07/2017

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