Provider Demographics
NPI:1194604843
Name:AAA FAMILY PHARMACY CORP
Entity type:Organization
Organization Name:AAA FAMILY PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANAIT
Authorized Official - Middle Name:
Authorized Official - Last Name:OJENIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-818-5551
Mailing Address - Street 1:8415 RESEDA BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-4684
Mailing Address - Country:US
Mailing Address - Phone:818-818-5551
Mailing Address - Fax:818-818-5105
Practice Address - Street 1:8415 RESEDA BLVD STE 6
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-4684
Practice Address - Country:US
Practice Address - Phone:818-818-5551
Practice Address - Fax:818-818-5105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY60756OtherBOARD OF PHARMACY