Healthcare Provider Details

I. General information

NPI: 1013674944
Provider Name (Legal Business Name): AGH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2021
Last Update Date: 11/28/2021
Certification Date: 11/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4590 E CLINTON AVE
FRESNO CA
93703-2659
US

IV. Provider business mailing address

7212 N STACIA AVE
FRESNO CA
93720-0311
US

V. Phone/Fax

Practice location:
  • Phone: 559-916-0346
  • Fax:
Mailing address:
  • Phone: 559-273-1706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: HAROUTUN HARRY POGOSYAN
Title or Position: SECRETARY
Credential: PHA TEC
Phone: 559-273-1706