MEDICARE: NORTH STAR PHARMACY

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1376148817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH STAR PHARMACY

Provider Business Mailing Address
First Line	:	6025 N FIGUEROA ST STE F
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-1367
Country	:	US
Telephone Number	:	747-296-6205
Fax Number	:

Provider Business Practice Location Address
First Line	:	6025 N FIGUEROA ST STE F
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-1367
Country	:	US
Telephone Number	:	747-296-6205
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. ARTAK VARTANYAN
Credential	:
Telephone Number	:	747-296-6205

Provider Enumeration Date	:	12/02/2020
Last Update Date	:	12/02/2020

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Directions to “NORTH STAR PHARMACY ” Practice Location

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