Provider Demographics
NPI:1144195678
Name:SPIRITED HRACH OF THE VALLEY INC
Entity type:Organization
Organization Name:SPIRITED HRACH OF THE VALLEY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/CFO/DIR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINEH
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSEFIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-378-5999
Mailing Address - Street 1:7616 FOOTHILL BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2186
Mailing Address - Country:US
Mailing Address - Phone:818-273-9338
Mailing Address - Fax:818-273-4111
Practice Address - Street 1:7616 FOOTHILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2186
Practice Address - Country:US
Practice Address - Phone:818-273-9338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-06
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy