Organization
SIRMID, INC
Active
Other names
key pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SIRANUSH MIDURYAN (OWNER)
(818) 509-3630
Entity
Organization
Contact information
Practice address
12660 RIVERSIDE DR, SUITE 100, VALLEY VILLAGE, CA 91607-3429
(818) 509-3630
(818) 509-3628
Mailing address
12660 RIVERSIDE DR, SUITE 100, VALLEY VILLAGE, CA 91607-3429
(818) 509-3630
(818) 509-3628
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/05/2005
Last updated
12/22/2023
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