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General NPI Number Information
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NPI Number | 1053485573
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Entity Type | Organization
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Legal Business Name | NORTHRIDGE CENTER PHARMACY
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 18250 ROSCOE BLVD STE 104
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4257
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Country | US
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Telephone | 818-885-8191
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Fax | 818-717-8745
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Provider Business Mailing Address
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Address Line | 18250 ROSCOE BLVD STE 104
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4257
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Country | US
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Telephone | 818-885-8191
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Fax | 818-717-8745
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Authorized Official
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Title or Position | SECRETARY
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Name | HAYK HARUTYUNYAN
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Credential |
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Telephone | 818-885-8191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY54561
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | PHY54561
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License Number State | CA
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