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Organization
KGSS INC
Active
Organization
KGSS INC
Active
Other names
CAMARILLO COMMUNITY PHARMACY, OAKS COMMUNITY LTC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHATCHATUR SARAFIAN PHARM D (PRESIDENT/CEO/SECRETARY/DIRECTOR)
(747) 239-6668
Entity
Organization
Contact information
Practice address
14122 AETNA ST STE B, VAN NUYS, CA 91401-3426
(747) 239-6668
(747) 239-6669
Mailing address
14122 AETNA ST STE B, VAN NUYS, CA 91401-3426
(747) 239-6668
(747) 239-6669
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
3336L0003X
Long Term Care Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58415
BOARD OF PHARMACY
CA
01
—
PHY61703
BOP
CA
Enumeration date
05/01/2015
Last updated
10/13/2026
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