Provider Demographics
NPI:1104920552
Name:A & H PHARMACY GROUP INC
Entity type:Organization
Organization Name:A & H PHARMACY GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO/CFO/DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUTYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISSIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-461-9600
Mailing Address - Street 1:4849 VAN NUYS BLVD
Mailing Address - Street 2:STE 101A
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-2181
Mailing Address - Country:US
Mailing Address - Phone:818-461-9600
Mailing Address - Fax:818-461-9339
Practice Address - Street 1:4849 VAN NUYS BLVD STE 101A
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2181
Practice Address - Country:US
Practice Address - Phone:818-461-9600
Practice Address - Fax:818-461-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336C0003X, 3336L0003X, 3336S0011X
CAPHY484303336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY58550OtherBOARD OF PHARMACY