Organization
KGSS INC
Active
Other names
CAMARILLO COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHATCHATUR SARAFIAN PHARM D (PRESIDENT/CEO/SECRETARY/DIRECTOR)
(805) 383-8340
Entity
Organization
Contact information
Practice address
424 ARNEILL ROAD, STE D, CAMARILLO, CA 93010-6433
(805) 383-8340
(805) 383-8343
Mailing address
424 ARNEILL ROAD, STE D, CAMARILLO, CA 93010-6433
(805) 383-8340
(805) 383-8343
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY58415
BOARD OF PHARMACY
CA
Enumeration date
05/01/2015
Last updated
06/22/2022
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