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Organization
VAKO MINAS AGAJANIAN
Active
Organization
VAKO MINAS AGAJANIAN
Active
Other names
Akhtamar Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
VAKO AGAJANIAN (OWNER)
(626) 817-9828
Entity
Organization
Contact information
Practice address
1729 E WASHINGTON BLVD, PASADENA, CA 91104-2752
(626) 817-9828
(626) 817-9830
Mailing address
1729 E WASHINGTON BLVD, PASADENA, CA 91104-2752
(626) 817-9828
(626) 817-9830
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
53780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153993
PK
—
Enumeration date
08/09/2005
Last updated
10/22/2015
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