MEDICARE: AH CARE 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
1	333600000X	Pharmacy
2	3336L0003X	Long Term Care Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHY59349	OTHER	CA	BOARD OF PHARMACY

General Provider Information

NPI Number	:	1639931157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AH CARE RX INC

Provider Business Mailing Address
First Line	:	5315 LAUREL CANYON BLVD STE 104
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4915
Country	:	US
Telephone Number	:	818-358-2644
Fax Number	:	747-666-1710

Provider Business Practice Location Address
First Line	:	5315 LAUREL CANYON BLVD STE 104
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-4915
Country	:	US
Telephone Number	:	818-358-2644
Fax Number	:	747-666-1710

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	HAYKARAM STEPANYAN
Credential	:
Telephone Number	:	818-358-2644

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	03/04/2026

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Directions to “AH CARE RX INC ” Practice Location

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