Provider Demographics
NPI:1447891254
Name:WHOLE HEALTH PHARMACY
Entity type:Organization
Organization Name:WHOLE HEALTH PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREASYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-572-3956
Mailing Address - Street 1:27725 SANTA MARGARITA PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6706
Mailing Address - Country:US
Mailing Address - Phone:949-305-0788
Mailing Address - Fax:949-340-8008
Practice Address - Street 1:27725 SANTA MARGARITA PKWY STE 102
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6706
Practice Address - Country:US
Practice Address - Phone:949-305-0788
Practice Address - Fax:949-304-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy