Organization
SUPER PILL INC
Active
Other names
D&K TECH RX
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICA ASHIKIAN (PRESIDENT/OWNER)
(310) 800-2265
Entity
Organization
Contact information
Practice address
6320 VAN NUYS BLVD STE 301, VAN NUYS, CA 91401-6637
(310) 800-2265
(310) 861-5898
Mailing address
6320 VAN NUYS BLVD STE 301, VAN NUYS, CA 91401-6637
(310) 800-2265
(310) 861-5898
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57174
BOARD OF PHARMACY PERMIT
CA
Enumeration date
12/06/2019
Last updated
12/06/2019
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