Provider Demographics
NPI:1619703881
Name:NORMANDY PHARMACY INC
Entity type:Organization
Organization Name:NORMANDY PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PETROS
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-913-3337
Mailing Address - Street 1:5112 HOLLYWOOD BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6124
Mailing Address - Country:US
Mailing Address - Phone:323-913-3337
Mailing Address - Fax:323-913-0318
Practice Address - Street 1:5112 HOLLYWOOD BLVD STE 104
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6124
Practice Address - Country:US
Practice Address - Phone:323-913-3337
Practice Address - Fax:323-913-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy