Organization
SAYRE MEDICAL PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY AVNET RPH (PRESIDENT)
(818) 367-5939
Entity
Organization
Contact information
Practice address
14124 FOOTHILL BLVD, SYLMAR, CA 91342-8049
(818) 367-5939
(818) 362-2179
Mailing address
14124 FOOTHILL BLVD, SYLMAR, CA 91342-8049
(818) 367-5939
(818) 362-2179
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
333600000X
Pharmacy
Primary
PHY18263
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA182630
—
CA
Enumeration date
10/07/2005
Last updated
07/07/2011
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