Organization Name: | MIRACLE RX INC |
NPI Number: | 1609163286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAIK SARAFYAN (PRESIDENT/TCH) |
Mailing Address: | 7418-7420 Foothill Blvd Tujunga |
State: | CA US |
Postal Code: | 91042 |
Phone Number: | 8182734602 |
Fax Number: | 8182734610 |
NPI Enumeration Date: | 07/05/2011 |
NPI Last Update Date: | 07/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 333600000X |
License Number: | PHY50650 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |