Provider Demographics
NPI:1386053387
Name:PCS DISCOUNT PHARMACY INC
Entity type:Organization
Organization Name:PCS DISCOUNT PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ATAVIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-735-7001
Mailing Address - Street 1:4027 W PICO BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90019-4307
Mailing Address - Country:US
Mailing Address - Phone:323-735-7001
Mailing Address - Fax:323-735-7008
Practice Address - Street 1:4027 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90019-4307
Practice Address - Country:US
Practice Address - Phone:323-735-7001
Practice Address - Fax:323-735-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy