Provider Demographics
NPI:1174343909
Name:RITZ RX INC
Entity type:Organization
Organization Name:RITZ RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAKARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARM D
Authorized Official - Phone:747-477-1265
Mailing Address - Street 1:1121 N SAN FERNANDO BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91504-4300
Mailing Address - Country:US
Mailing Address - Phone:747-477-1265
Mailing Address - Fax:747-477-1264
Practice Address - Street 1:1121 N SAN FERNANDO BLVD STE E
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91504-4300
Practice Address - Country:US
Practice Address - Phone:747-477-1265
Practice Address - Fax:747-477-1264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY59412OtherBOARD OF PHARMACY