MEDICARE: RECOVERY PHARMACEUTICALS 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	183500000X	Pharmacist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104780527
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY PHARMACEUTICALS INC

Provider Business Mailing Address
First Line	:	16911 SAN FERNANDO MISSION BLVD
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-2798
Country	:	US
Telephone Number	:	818-363-8107
Fax Number	:	818-831-2024

Provider Business Practice Location Address
First Line	:	16911 SAN FERNANDO MISSION BLVD
Second Line	:
City	:	GRANADA HILLS
State	:	CA
Zip	:	91344-2798
Country	:	US
Telephone Number	:	818-363-8107
Fax Number	:	818-831-2024

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MILAD TOSSOUN
Credential	:	RPH
Telephone Number	:	818-363-8107

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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