Organization
A & G VITALIFE INC
Active
Other names
A & G CARE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEVORK DANIELIAN PHARM D (PRESIDENT/PIC)
(747) 202-3638
Entity
Organization
Contact information
Practice address
7233 CORBIN AVE, WINNETKA, CA 91306-3006
(747) 202-3638
(747) 202-3639
Mailing address
7233 CORBIN AVE, WINNETKA, CA 91306-3006
(747) 202-3638
(747) 202-3639
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
CA
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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