Provider Demographics
NPI:1497636930
Name:ALLEGIANCE VALLEY PHARMACY INC
Entity type:Organization
Organization Name:ALLEGIANCE VALLEY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVEDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:818-570-2002
Mailing Address - Street 1:18455 BURBANK BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-6644
Mailing Address - Country:US
Mailing Address - Phone:818-570-2002
Mailing Address - Fax:818-570-2003
Practice Address - Street 1:18455 BURBANK BLVD STE 303
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-6644
Practice Address - Country:US
Practice Address - Phone:818-570-2002
Practice Address - Fax:818-570-2003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy