MEDICARE: COVER 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	3336L0003X	Long Term Care Pharmacy

General Provider Information

NPI Number	:	1962242206
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVER RX INC

Provider Business Mailing Address
First Line	:	1811 W GLENOAKS BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-4376
Country	:	US
Telephone Number	:	818-937-9773
Fax Number	:	818-937-9772

Provider Business Practice Location Address
First Line	:	1811 W GLENOAKS BLVD
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91201-4376
Country	:	US
Telephone Number	:	818-937-9773
Fax Number	:	818-937-9772

Authorized Official
Title or Position	:	PIC/OWNER
Name	:	JULIETA YEGHOYAN
Credential	:	PHARM D
Telephone Number	:	818-937-9773

Provider Enumeration Date	:	05/24/2024
Last Update Date	:	05/30/2024

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Directions to “COVER RX INC ” Practice Location

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