Healthcare Provider Details

I. General information

NPI: 1346614203
Provider Name (Legal Business Name): CARE FIRST PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2015
Last Update Date: 06/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1415 E COLORADO ST #M
GLENDALE CA
91205-1533
US

IV. Provider business mailing address

1415 E COLORADO ST #M
GLENDALE CA
91205-1533
US

V. Phone/Fax

Practice location:
  • Phone: 818-201-2900
  • Fax: 877-581-9949
Mailing address:
  • Phone: 818-201-2900
  • Fax: 877-581-9949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY53906
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY 53906
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MRS. ASHINEH MEHRABIAN
Title or Position: PRESIDENT/PIC
Credential: PHARM D
Phone: 818-201-2900