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General NPI Number Information
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NPI Number | 1902341183
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Entity Type | Organization
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Legal Business Name | OAKS COMMUNITY PHARMACY INC
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Dates
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Enumeration Date | 12/27/2016
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Last Update Date | 03/26/2024
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Provider Practice Location Address
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Address Line | 13322 RIVESIDE DR
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City | SHERMAN OAKS
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State | CA
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Zip | 91423
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Country | US
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Telephone | 818-309-2233
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Fax | 818-309-2235
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Provider Business Mailing Address
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Address Line | 13322 RIVESIDE DR
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City | SHERMAN OAKS
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State | CA
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Zip | 91423
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Country | US
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Telephone | 818-309-2233
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Fax | 818-309-2235
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Authorized Official
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Title or Position | PRESIDENT / PHARMACIST IN CHARGE
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Name | DR. KHATCHATUR SARAFIANRI
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Credential | PHARM D
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Telephone | 818-309-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY 55432
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License Number State | CA
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