Organization
K & S EAGLESTEIN INC
Active
Organization
K & S EAGLESTEIN INC
Active
Other names
Sylmar Medical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEVAK HOVAGIMYAN PHARM.D (PRESIDENT)
(818) 640-9515
Entity
Organization
Contact information
Practice address
13677 FOOTHILL BLVD, UNIT B, SYLMAR, CA 91342
(818) 698-4053
(818) 698-4046
Mailing address
13677 FOOTHILL BLVD, UNIT B, SYLMAR, CA 91342
(818) 698-4053
(818) 698-4046
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56853
CALIFORNIA STATE BOARD OF PHARMACY
CA
Enumeration date
12/31/2018
Last updated
02/03/2022
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