MEDICARE: HEALTH PRO PHARMACEUTICAL

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	333600000X	Pharmacy	PHY48439	CA

General Provider Information

NPI Number	:	1477670370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH PRO PHARMACEUTICAL

Provider Business Mailing Address
First Line	:	12650 SHERMAN WAY
Second Line	:	#9
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91605-5232
Country	:	US
Telephone Number	:	818-765-1025
Fax Number	:	818-765-1047

Provider Business Practice Location Address
First Line	:	12650 SHERMAN WAY
Second Line	:	#9
City	:	N HOLLYWOOD
State	:	CA
Zip	:	91605-5232
Country	:	US
Telephone Number	:	818-765-1025
Fax Number	:	818-765-1047

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ARMEN MINASIAN
Credential	:	PHARM.D.
Telephone Number	:	818-765-1025

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	11/16/2010

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Directions to “HEALTH PRO PHARMACEUTICAL ” Practice Location

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