Healthcare Provider Details

I. General information

NPI: 1013836006
Provider Name (Legal Business Name): GUARDIAN PHARMACY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 E BIDWELL ST STE B
FOLSOM CA
95630-4201
US

IV. Provider business mailing address

325 E BIDWELL ST STE B
FOLSOM CA
95630-4201
US

V. Phone/Fax

Practice location:
  • Phone: 916-693-6773
  • Fax:
Mailing address:
  • Phone: 916-693-6773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: LUSINE JANIBEKYAN
Title or Position: CEO/CFO/SEC./DIR.
Credential:
Phone: 818-399-7232