Organization
MIRACLE RX INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up