# AGOURA WELLNESS RX INC

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

## Provider details

- **NPI number:** 1851241210
- **Authorized official:** YAKOV SULEYMANOV (OWNER)
- **Authorized official phone:** (818) 770-2300

## Contact information

- **Practice address:** 30313 CANWOOD ST STE 24, AGOURA HILLS, CA 91301-2066
- **Practice address phone:** (818) 770-2300
- **Practice address fax:** (818) 338-0123
- **Mailing address:** 30313 CANWOOD ST STE 24, AGOURA HILLS, CA 91301-2066
- **Mailing address phone:** (818) 770-2300
- **Mailing address fax:** (818) 338-0123

## Taxonomy

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

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 06/08/2026