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MIRACLE PHARMACY INC. NPI 1679764443


NPI Information

NPI: 1679764443
Provider Name: MIRACLE PHARMACY INC.

Doing Business As: WEST VERN PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
2490 HONOLULU AVE # 140-B
MONTROSE, CA
ZIP 91020
Phone: (818) 541-0555
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MIRACLE PHARMACY INC. is a community/retail pharmacy pharmacy in Montrose, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MIRACLE PHARMACY INC. NPI is 1679764443. The provider is registered as an organization entity type.
The provider Is Doing Business As West Vern Pharmacy.

The provider's business location address is:

2490 HONOLULU AVE # 140-B
MONTROSE, CA
ZIP 91020-800
Phone: (818) 541-0555

The provider's authorized official is Nancy Nazik Simonian .
The authorized official title is Vice President and has the following contact phone number (818) 541-0555.

The enumeration date for this NPI number is 8/7/2007 and was last updated on 11/13/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail Pharmacy48338CALIFORNIAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16057200001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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