MEDICARE: AIM 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1770528887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIM PHARMACY INC

Provider Business Mailing Address
First Line	:	3920 SKYCREST DR
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-1333
Country	:	US
Telephone Number	:	626-794-5284
Fax Number	:

Provider Business Practice Location Address
First Line	:	2377 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2038
Country	:	US
Telephone Number	:	626-794-5284
Fax Number	:	626-794-5365

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	GRIGOR TERGRIGORYAN
Credential	:
Telephone Number	:	626-794-5284

Provider Enumeration Date	:	06/20/2006
Last Update Date	:	08/22/2020

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