Healthcare Provider Details

I. General information

NPI: 1700883949
Provider Name (Legal Business Name): ARARAT PHARMACY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1248 S GLENDALE AVE STE M
GLENDALE CA
91205-3269
US

IV. Provider business mailing address

1248 S GLENDALE AVE STE M
GLENDALE CA
91205-3269
US

V. Phone/Fax

Practice location:
  • Phone: 818-637-2177
  • Fax: 818-637-2831
Mailing address:
  • Phone: 818-637-2177
  • Fax: 818-637-2831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number52572
License Number StateCA

VIII. Authorized Official

Name: GURGEN BAGDASARIAN
Title or Position: PRESIDENT/PIC
Credential:
Phone: 818-637-2177