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Organization
VERTEXRX PHARMACY INCORPORATED
Active
Organization
VERTEXRX PHARMACY INCORPORATED
Active
Other names
VertexRx Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL SAMVALIAN (CEO)
(818) 638-9652
Entity
Organization
Contact information
Practice address
11273 LAUREL CANYON BLVD STE 4, SAN FERNANDO, CA 91340-4359
(818) 638-9652
(818) 638-9653
Mailing address
11273 LAUREL CANYON BLVD STE 4, SAN FERNANDO, CA 91340-4359
(818) 638-9652
(818) 638-9653
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9307542
—
CA
Enumeration date
01/07/2020
Last updated
12/20/2021
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