MEDICARE: MET 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
1	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1043164775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MET PHARMACY, INC

Provider Business Mailing Address
First Line	:	1344 E COLORADO ST STE A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1474
Country	:	US
Telephone Number	:	818-839-7999
Fax Number	:	818-839-7990

Provider Business Practice Location Address
First Line	:	1344 E COLORADO ST STE A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1474
Country	:	US
Telephone Number	:	818-839-7999
Fax Number	:	818-839-7990

Authorized Official
Title or Position	:	PIC/CEO
Name	:	MARY ANNE KANDAHARIAN
Credential	:	RPH
Telephone Number	:	818-427-2896

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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