Healthcare Provider Details

I. General information

NPI: 1841014255
Provider Name (Legal Business Name): BENEFICIAL PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2024
Last Update Date: 11/12/2024
Certification Date: 11/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 WOODMAN AVE STE 102
VAN NUYS CA
91405-2665
US

IV. Provider business mailing address

7220 WOODMAN AVE STE 102
VAN NUYS CA
91405-2665
US

V. Phone/Fax

Practice location:
  • Phone: 818-809-2525
  • Fax:
Mailing address:
  • Phone: 818-809-2525
  • Fax:

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: ANI HAMBARDZUMYAN
Title or Position: CEO/PIC
Credential: RPH88190
Phone: 323-354-7777