# MAGGIE'S PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MAGGIE'S PHARMACY II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972128676
- **Authorized official:** DR. NARE PETOYAN PHARM D (PRESIDENT/PIC)
- **Authorized official phone:** (805) 770-1003

## Contact information

- **Practice address:** 2315 KUEHNER DR STE 108, SIMI VALLEY, CA 93063-3960
- **Practice address phone:** (805) 770-1003
- **Practice address fax:** (805) 770-1004
- **Mailing address:** 2315 KUEHNER DR STE 108, SIMI VALLEY, CA 93063-3960
- **Mailing address phone:** (805) 770-1003
- **Mailing address fax:** (805) 770-1004

## Taxonomy

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

## Other

- **Enumeration date:** 06/09/2020
- **Last updated:** 06/09/2020