| NPI | 1063407252 |
|---|---|
| Doing Business As | SORTPAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND SHIRVONYAN President 818-267-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2019-10-11 |