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General NPI Number Information
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NPI Number | 1265386981
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Entity Type | Organization
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Legal Business Name | ALTRU PHARMACY INC
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Dates
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Enumeration Date | 02/21/2026
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Last Update Date | 02/21/2026
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Provider Practice Location Address
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Address Line | 13646 RIVERSIDE DR
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2432
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Country | US
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Telephone | 310-981-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 13646 RIVERSIDE DR
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | IZABELLA SEVEREKYAN
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Credential |
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Telephone | 310-893-3235
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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 |
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License Number State |
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