Healthcare Provider Details

I. General information

NPI: 1932590650
Provider Name (Legal Business Name): CARE-A-LOT PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2015
Last Update Date: 03/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21413 DEVONSHIRE ST
CHATSWORTH CA
91311-2935
US

IV. Provider business mailing address

21413 DEVONSHIRE ST
CHATSWORTH CA
91311-2935
US

V. Phone/Fax

Practice location:
  • Phone: 747-202-3222
  • Fax: 747-202-3776
Mailing address:
  • Phone: 747-202-3222
  • Fax: 747-202-3776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY52476
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. GEVORK DANIELIAN
Title or Position: PRESIDENT/CEO/PHARMACIST IN CHARGE
Credential: PHARM D
Phone: 818-434-8372