Healthcare Provider Details

I. General information

NPI: 1851785042
Provider Name (Legal Business Name): WESTCO DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2015
Last Update Date: 02/21/2022
Certification Date: 02/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1217 N CENTRAL AVE STE AA
GLENDALE CA
91202-3160
US

IV. Provider business mailing address

1217 N CENTRAL AVE STE AA
GLENDALE CA
91202-3160
US

V. Phone/Fax

Practice location:
  • Phone: 818-696-2099
  • Fax: 818-937-1773
Mailing address:
  • Phone: 818-696-2099
  • Fax: 818-937-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number52425
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number52425
License Number StateCA

VIII. Authorized Official

Name: DR. EDVARD ARUTYUNYAN
Title or Position: PHARMACIST/CEO
Credential: PHARMD
Phone: 818-696-2099