Organization
KSGS RX INC
Active
Other names
OAKS COMMUNITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHATCHATUR SARAFIAN PHARM D (PRESIDENT/RPH)
(747) 254-3331
Entity
Organization
Contact information
Practice address
21910 VENTURA BLVD, WOODLAND HILLS, CA 91364-1724
(747) 254-3331
(747) 254-3332
Mailing address
21910 VENTURA BLVD, WOODLAND HILLS, CA 91364-1724
(747) 254-3331
(747) 254-3332
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57873
BOARD OF PHARMACY
CA
Enumeration date
12/01/2021
Last updated
08/23/2022
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