Healthcare Provider Details

I. General information

NPI: 1609057371
Provider Name (Legal Business Name): H & H DRUG STORES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2007
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3604 SAN FERNANDO RD
GLENDALE CA
91204-2917
US

IV. Provider business mailing address

3604 SAN FERNANDO RD
GLENDALE CA
91204-2917
US

V. Phone/Fax

Practice location:
  • Phone: 818-956-2104
  • Fax: 818-956-6317
Mailing address:
  • Phone: 818-956-2104
  • Fax: 818-956-6317

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 NumberPHY44957
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. ARMAN DERTSAKIAN
Title or Position: VP CONTRACTING
Credential:
Phone: 818-956-6691