Organization
AGM RX INC
Active
Other names
AGM PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUSINE MARDYAN (PRESIDENT/CEO)
(818) 308-7538
Entity
Organization
Contact information
Practice address
12043 RIVERDSIDE DR, VALLEY VILLAGE, CA 91607
(818) 308-7538
(818) 308-6991
Mailing address
12043 RIVERDSIDE DR, VALLEY VILLAGE, CA 91607
(818) 308-7538
(818) 308-6991
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57478
BOARD OF PHARMACY
CA
Enumeration date
05/14/2020
Last updated
08/12/2021
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