Miracle Pharmacy

LBN: Miracle Rx Inc
Miracle Pharmacy is an health care organization with primary practice located at 7418-7420 Foothill Blvd , Tujunga CA 91042. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Miracle Rx Inc can be contacted via phone (818) 273-4602, or through Sarafyan, Gaik via phone (818) 273-4602.

Contact Information

Primary practice address
7418-7420 Foothill Blvd Tujunga CA 91042
Fax: (818) 273-4610
Website:
Authorized official contact:
Name: Sarafyan, Gaik

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X PHY50650 California
Suppliers / Community/Retail Pharmacy 3336C0003X PHY50650

Profile Details

NPI number 1609163286
LBN Legal business name Miracle Rx Inc
DBA Doing business as Miracle Pharmacy
Authorized official Sarafyan, Gaik
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2011
Last updated Jul 5th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609163286 NPPES
California Other PHY50650 CALIFORNIA STATE BOARD OF PHARMACY PERMIT

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