Provider Demographics
NPI:1407698095
Name:ARKA RX INC
Entity type:Organization
Organization Name:ARKA RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST IN CHARGE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTAK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARUTYUNYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:818-937-9394
Mailing Address - Street 1:621 E GLENOAKS BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91207-1775
Mailing Address - Country:US
Mailing Address - Phone:818-937-9394
Mailing Address - Fax:818-937-9396
Practice Address - Street 1:621 E GLENOAKS BLVD STE C
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91207-1775
Practice Address - Country:US
Practice Address - Phone:818-937-9394
Practice Address - Fax:818-937-9396
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy