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Contact Information

BURBANK VILLAGE COMPOUNDING PHARMACY INC
337 E MAGNOLIA BLVD
BURBANK, CA91502
 Phone: 818-260-0062
 Fax: 818-260-0089
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BURBANK VILLAGE COMPOUNDING PHARMACY INC

NPI Number 1225397086
LBN Legal business name BURBANK VILLAGE COMPOUNDING PHARMACY INC
Authorized official RAFI KHOBIARIAN - (PIC, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2012
Last updated 01/17/2024 - About 2 years ago
Identifiers
CA License # PHY50950
CA Medicaid 1225397086
CA Other PHY50950 CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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