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NPI Code Detail

MEDICARE: COVER RX INC

MEDICARE: COVER RX 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 Pharmacy55683CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
155683OTHERCABOARD OF PHARMACY PERMIT

General Provider Information

NPI Number : 1316468432
Entity Type Code : Organization
Provider Name (Legal Business Name) : COVER RX INC
Provider Business Mailing Address
First Line : 1811 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-4376
Country : US
Telephone Number : 818-937-9772
Fax Number : 818-937-9773
Provider Business Practice Location Address
First Line : 1811 W GLENOAKS BLVD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-4376
Country : US
Telephone Number : 818-937-9772
Fax Number : 818-937-9773
Authorized Official
Title or Position : PRESIDENT/PIC
Name : DR. JULIETA YEGHOYAN
Credential : PHARM D
Telephone Number : 818-937-9772
Provider Enumeration Date : 06/28/2017
Last Update Date : 06/28/2017

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Directions to “COVER RX INC ” Practice Location

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