Healthcare Provider Details

I. General information

NPI: 1184387615
Provider Name (Legal Business Name): GRAND POLITE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 08/24/2022
Certification Date: 08/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6624 FOOTHILL BLVD
TUJUNGA CA
91042
US

IV. Provider business mailing address

6624 FOOTHILL BLVD
TUJUNGA CA
91042
US

V. Phone/Fax

Practice location:
  • Phone: 818-875-4053
  • Fax: 818-875-4063
Mailing address:
  • Phone: 818-875-4053
  • Fax: 818-875-4063

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ARTHUR KARO HAGOPIAN
Title or Position: PHARMACIST
Credential: PHARM D.
Phone: 818-624-5010