| NPI | 1609163286 |
|---|---|
| Doing Business As | MIRACLE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | GAIK SARAFYAN President/Tch 818-273-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PHY50650) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: CA PHY50650) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2011-07-05 |