| NPI | 1912640632 |
|---|---|
| Other Name | SORTPAK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND SHIRVANYAN CEO 818-267-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |