Organization
MIRACLE PHARMACY INC.
Active
Other names
West Vern Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY NAZIK SIMONIAN (VICE PRESIDENT)
(818) 541-0555
Entity
Organization
Contact information
Practice address
2490 HONOLULU AVE # 140-B, MONTROSE, CA 91020-1800
(818) 541-0555
Mailing address
2490 HONOLULU AVE # 140-B, MONTROSE, CA 91020-1800
(818) 541-0555
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
48338
CA
Other
Enumeration date
08/07/2007
Last updated
11/13/2008
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