Provider Demographics
NPI:1992319347
Name:ONE VERITAS PHARMACY
Entity type:Organization
Organization Name:ONE VERITAS PHARMACY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PIC
Authorized Official - Prefix:MRS
Authorized Official - First Name:NARINE
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:SARGSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:818-200-5861
Mailing Address - Street 1:18607 VENTURA BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4165
Mailing Address - Country:US
Mailing Address - Phone:818-600-8566
Mailing Address - Fax:818-600-8974
Practice Address - Street 1:18607 VENTURA BLVD STE 109
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4165
Practice Address - Country:US
Practice Address - Phone:818-600-8566
Practice Address - Fax:818-600-8974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-02
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA100214820Medicaid