Provider Demographics
NPI:1679718738
Name:UNIQUE PHARMACY INC
Entity type:Organization
Organization Name:UNIQUE PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ESAHAKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-841-8065
Mailing Address - Street 1:1004 W MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1607
Mailing Address - Country:US
Mailing Address - Phone:818-841-8065
Mailing Address - Fax:818-841-8086
Practice Address - Street 1:1004 W MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1607
Practice Address - Country:US
Practice Address - Phone:818-841-8065
Practice Address - Fax:818-841-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPHY51194333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY 51194OtherCALIFORNIA STATE BOARD OF PHARMACY
5633549OtherNCPDP PROVIDER IDENTIFICATION NUMBER
CAPHY 51194OtherCALIFORNIA STATE BOARD OF PHARMACY