Organization
GIRIRAJ CORPORATION
Active
Other names
SUPER CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG RAKHOLIA (PRESIDENT)
(951) 243-2530
Entity
Organization
Contact information
Practice address
24825 ALESSANDRO BLVD STE 2, MORENO VALLEY, CA 92553-5851
(951) 243-2530
(951) 243-2554
Mailing address
24825 ALESSANDRO BLVD STE 2, MORENO VALLEY, CA 92553-5851
(951) 243-2530
(951) 243-2554
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY55475
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2168254
PK
—
Enumeration date
02/23/2017
Last updated
04/16/2021
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