Healthcare Provider Details

I. General information

NPI: 1083728059
Provider Name (Legal Business Name): MILART PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 S BEVERLY DR STE 100
BEVERLY HILLS CA
90212-4808
US

IV. Provider business mailing address

300 S BEVERLY DR STE 100
BEVERLY HILLS CA
90212-4808
US

V. Phone/Fax

Practice location:
  • Phone: 310-553-0225
  • Fax: 310-553-8454
Mailing address:
  • Phone: 310-553-0225
  • Fax: 310-553-8454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY47582
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARASH LEVIAN
Title or Position: OWNER
Credential: PHARM.D.
Phone: 310-553-0225