Healthcare Provider Details

I. General information

NPI: 1578815692
Provider Name (Legal Business Name): NATALYA TVERYE PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2012
Last Update Date: 10/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 W EMPIRE AVE
BURBANK CA
91504-3403
US

IV. Provider business mailing address

1800 W EMPIRE AVE
BURBANK CA
91504-3403
US

V. Phone/Fax

Practice location:
  • Phone: 818-238-0239
  • Fax:
Mailing address:
  • Phone: 818-238-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number59990
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: