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General NPI Number Information
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NPI Number | 1275930638
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Entity Type | Organization
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Legal Business Name | TRIPLE S R PHARMACY INC
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 800 N BRAND BLVD STE 306
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City | GLENDALE
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State | CA
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Zip | 91203-4251
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Country | US
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Telephone | 800-557-5555
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Fax | 800-557-9095
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Provider Business Mailing Address
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Address Line | 1146 N CENTRAL AVE # 697
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City | GLENDALE
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State | CA
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Zip | 91202-2506
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Country | US
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Telephone | 800-557-5555
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Fax | 800-557-9095
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Authorized Official
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Title or Position | PRESIDENT/PIC
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Name | DR. SARKIS JARAKIAN
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Credential | PHARM D
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Telephone | 800-557-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | PHY55417
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY55417
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License Number State | CA
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