# KSGS RX INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OAKS COMMUNITY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376201947
- **Authorized official:** DR. KHATCHATUR SARAFIAN PHARM D (PRESIDENT/RPH)
- **Authorized official phone:** (747) 254-3331

## Contact information

- **Practice address:** 21910 VENTURA BLVD, WOODLAND HILLS, CA 91364-1724
- **Practice address phone:** (747) 254-3331
- **Practice address fax:** (747) 254-3332
- **Mailing address:** 21910 VENTURA BLVD, WOODLAND HILLS, CA 91364-1724
- **Mailing address phone:** (747) 254-3331
- **Mailing address fax:** (747) 254-3332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2021
- **Last updated:** 08/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | PHY57873 | BOARD OF PHARMACY | CA |