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Organization
SORTPAK RX, INC.
Active
Organization
SORTPAK RX, INC.
Active
Other names
SORTPAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND SHIRVANYAN (PRESIDENT/CEO)
(877) 570-7787
Entity
Organization
Contact information
Practice address
655 N CENTRAL AVE FL 22, GLENDALE, CA 91203-1444
(877) 570-7787
(877) 475-2382
Mailing address
655 N CENTRAL AVE FL 22, GLENDALE, CA 91203-1444
(877) 570-7787
(877) 475-2382
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY59170
BOARD OF PHARMACY
CA
Enumeration date
09/21/2020
Last updated
08/24/2023
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