Provider Demographics
NPI:1548967557
Name:G & K FOUNDATION
Entity type:Organization
Organization Name:G & K FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GEVORKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:818-887-8844
Mailing Address - Street 1:2412 W MAGNOLIA BLVD
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-1738
Mailing Address - Country:US
Mailing Address - Phone:818-887-8830
Mailing Address - Fax:818-887-8830
Practice Address - Street 1:2412 W MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-1738
Practice Address - Country:US
Practice Address - Phone:818-887-8830
Practice Address - Fax:818-887-8830
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:G&K FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy