Organization
MIRACLE RX INC
Active
Other names
MIRACLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAIK SARAFYAN (PRESIDENT/TCH)
(818) 273-4602
Entity
Organization
Contact information
Practice address
7418-7420 FOOTHILL BLVD, TUJUNGA, CA 91042
(818) 273-4602
(818) 273-4610
Mailing address
7418-7420 FOOTHILL BLVD, TUJUNGA, CA 91042
(818) 273-4602
(818) 273-4610
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY50650
CA
3336C0003X
Community/Retail Pharmacy
Primary
PHY50650
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY50650
CALIFORNIA STATE BOARD OF PHARMACY PERMIT
CA
Enumeration date
07/05/2011
Last updated
07/05/2011
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