Healthcare Provider Details

I. General information

NPI: 1730414533
Provider Name (Legal Business Name): ARROW-MED PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7334 TOPANGA CANYON BLVD SUITE 117
CANOGA PARK CA
91303-1268
US

IV. Provider business mailing address

21044 SHERMAN WAY SUITE 218
CANOGA PARK CA
91303-1748
US

V. Phone/Fax

Practice location:
  • Phone: 747-900-4290
  • Fax:
Mailing address:
  • Phone: 747-900-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number76234
License Number StateCA

VIII. Authorized Official

Name: OLGA MELNIKOVA
Title or Position: VICE PRESIDENT
Credential:
Phone: 747-900-4290