MEDICARE: ALM PHARMACY

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NABP	OTHER	CA	5617521

General Provider Information

NPI Number	:	1861553323
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALM PHARMACY

Provider Business Mailing Address
First Line	:	457 W COLORADO ST # 101
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1537
Country	:	US
Telephone Number	:	818-500-8858
Fax Number	:

Provider Business Practice Location Address
First Line	:	457 W COLORADO ST # 101
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-1537
Country	:	US
Telephone Number	:	818-500-8858
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. LUSINE ISHTOYAN
Credential	:
Telephone Number	:	818-500-8660

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	02/05/2008

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Directions to “ALM PHARMACY ” Practice Location

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