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NPI Code Detail

MEDICARE: ARARAT PHARMACY GROUP, INC.

MEDICARE: ARARAT PHARMACY GROUP, 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 Pharmacy52572CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12153937OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700883949
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARARAT PHARMACY GROUP, INC.
Provider Business Mailing Address
First Line : 1248 S GLENDALE AVE
Second Line : STE M
City : GLENDALE
State : CA
Zip : 91205-3269
Country : US
Telephone Number : 818-637-2177
Fax Number : 818-637-2831
Provider Business Practice Location Address
First Line : 1248 S GLENDALE AVE
Second Line : STE M
City : GLENDALE
State : CA
Zip : 91205-3269
Country : US
Telephone Number : 818-637-2177
Fax Number : 818-637-2831
Authorized Official
Title or Position : PRESIDENT/PIC
Name : GURGEN BAGDASARIAN
Credential :
Telephone Number : 818-637-2177
Provider Enumeration Date : 07/01/2005
Last Update Date : 12/08/2025

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Directions to “ARARAT PHARMACY GROUP, INC. ” Practice Location

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