Provider Demographics
NPI:1548339039
Name:I AND G PHARMACY INC.
Entity type:Organization
Organization Name:I AND G PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUSINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ISHTOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-500-0895
Mailing Address - Street 1:815 E COLORADO ST STE A
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1293
Mailing Address - Country:US
Mailing Address - Phone:818-500-1399
Mailing Address - Fax:
Practice Address - Street 1:815 E COLORADO ST STE A
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1293
Practice Address - Country:US
Practice Address - Phone:818-500-1399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0537689OtherNABP
CA1118950001Medicare NSC