MEDICARE: FIRST AID 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1750027033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST AID PHARMACY INC

Provider Business Mailing Address
First Line	:	1113 N HOLLYWOOD WAY
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2528
Country	:	US
Telephone Number	:	818-877-7788
Fax Number	:	818-877-7007

Provider Business Practice Location Address
First Line	:	1113 N HOLLYWOOD WAY
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-2528
Country	:	US
Telephone Number	:	818-877-7788
Fax Number	:	818-877-7007

Authorized Official
Title or Position	:	OWNER
Name	:	MERI SIMONYAN
Credential	:
Telephone Number	:	818-877-7788

Provider Enumeration Date	:	05/09/2022
Last Update Date	:	05/09/2022

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