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NPI Code Detail

MEDICARE: UPTOWN PHARMACY INC

MEDICARE: UPTOWN 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PHY61564OTHERCABOARD OF PHARMACY LICENSE

General Provider Information

NPI Number : 1427819556
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPTOWN PHARMACY INC
Provider Business Mailing Address
First Line : 2418 W WHITTIER BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-3041
Country : US
Telephone Number : 310-907-5957
Fax Number : 310-946-0840
Provider Business Practice Location Address
First Line : 2418 W WHITTIER BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-3041
Country : US
Telephone Number : 310-907-5957
Fax Number : 310-946-0840
Authorized Official
Title or Position : PRESIDENT/CEO
Name : NAZAR HAVANJYAN
Credential :
Telephone Number : 310-907-5957
Provider Enumeration Date : 01/16/2024
Last Update Date : 06/11/2026

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Directions to “UPTOWN PHARMACY INC ” Practice Location

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