Healthcare Provider Details
I. General information
NPI: 1104346592
Provider Name (Legal Business Name): CARING PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6365 VAN NUYS BLVD STE A
VAN NUYS CA
91401-2639
US
IV. Provider business mailing address
6365 VAN NUYS BLVD STE A
VAN NUYS CA
91401-2639
US
V. Phone/Fax
- Phone: 818-664-4124
- Fax: 818-686-5097
- Phone: 818-664-4124
- Fax: 818-686-5097
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 55642 |
| License Number State | CA |
VIII. Authorized Official
Name: DR.
KORUSH
J
FARAHANI
Title or Position: PRESIDENT/PIC
Credential: PHARM D
Phone: 818-664-4124