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General NPI Number Information
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NPI Number | 1508953845
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Entity Type | Organization
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Legal Business Name | NOUBARS EL ADOBE PHARMACY INC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 5207 HOLLYWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-4908
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Country | US
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Telephone | 323-461-9451
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Fax | 323-461-7134
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Provider Business Mailing Address
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Address Line | 5207 HOLLYWOOD BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-4998
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Country | US
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Telephone | 323-461-9451
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Fax | 323-461-7134
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Authorized Official
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Title or Position | TREASURER
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Name | VARTAN GEVORKIAN
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Credential |
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Telephone | 323-461-9454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 51195
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License Number State | CA
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