Organization
SAN MIGUEL PHARMACY,INC
Active
Organization
SAN MIGUEL PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACHUY ARUTYUNYAN RPH (CEO,PHARMACIST IN CHARGE)
(323) 563-3233
Entity
Organization
Contact information
Practice address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 563-3233
(323) 563-3934
Mailing address
4476 TWEEDY BLVD, SOUTH GATE, CA 90280-6359
(323) 563-3233
(323) 563-3934
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
46505
CA
Other
Enumeration date
10/01/2006
Last updated
08/22/2020
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