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NPI Code Detail

MEDICARE: ALG PHARMACY INC

MEDICARE: ALG PHARMACY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0003XCommunity/Retail Pharmacy
2333600000XPharmacy

General Provider Information

NPI Number : 1043054257
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALG PHARMACY INC
Provider Business Mailing Address
First Line : 924 W ALAMEDA AVE
Second Line :
City : BURBANK
State : CA
Zip : 91506-2802
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 924 W ALAMEDA AVE
Second Line :
City : BURBANK
State : CA
Zip : 91506-2802
Country : US
Telephone Number : 818-433-7655
Fax Number :
Authorized Official
Title or Position : CEO
Name : LUSINE AMIRYAN
Credential :
Telephone Number : 818-433-7655
Provider Enumeration Date : 06/21/2024
Last Update Date : 06/21/2024

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Directions to “ALG PHARMACY INC ” Practice Location

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