Healthcare Provider Details

I. General information

NPI: 1073602629
Provider Name (Legal Business Name): USC SCHOOL OF PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 VERDUGO BLVD STE 111
GLENDALE CA
91208-1477
US

IV. Provider business mailing address

1808 VERDUGO BLVD STE 111
GLENDALE CA
91208
US

V. Phone/Fax

Practice location:
  • Phone: 818-952-2223
  • Fax: 818-952-4760
Mailing address:
  • Phone: 818-952-2223
  • Fax: 818-952-4760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHY51564
License Number StateCA

VIII. Authorized Official

Name: RAFFI SVADJIAN
Title or Position: MANAGER
Credential:
Phone: 323-442-6121