IRDGAS NPI 1578748877

NPI Information

IRDGAS is a clinic pharmacy pharmacy in Sun Valley, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. IRDGAS NPI is 1578748877. The provider is registered as an organization entity type.
The provider Is Doing Business As Serra Medical Pharmacy.

The provider's business location address is:

9375 SAN FERNANDO RD
SUN VALLEY, CA
ZIP 91352-418
Phone: (818) 768-3322
Fax: (818) 504-0418

The provider's authorized official is Ronald Dennis Manzani .
The authorized official title is President and has the following contact phone number (818) 768-3322.

The enumeration date for this NPI number is 1/4/2008 and was last updated on 1/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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