Healthcare Provider Details

I. General information

NPI: 1902248453
Provider Name (Legal Business Name): UNICHOICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 W GLENOAKS BLVD SUITE A
GLENDALE CA
91201-1984
US

IV. Provider business mailing address

1436 W GLENOAKS BLVD SUITE A
GLENDALE CA
91201-1984
US

V. Phone/Fax

Practice location:
  • Phone: 818-409-9020
  • Fax: 818-409-9043
Mailing address:
  • Phone: 818-409-9020
  • Fax: 818-409-9043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number51534
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ARBI HAYRAPETIAN
Title or Position: PRESIDENT
Credential: PHARM.D.
Phone: 818-631-1708