A & G Vitalife INC
NPI #1982003190 in Winnetka, California
Provider Information
- NPI Number
- 1982003190
- Entity Type
- Organization
- Organization Name
- A & G Vitalife INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Aug 14, 2014
- Last Updated
- Aug 14, 2014
Practice Location
- Address
- 7233 CORBIN AVE
- City
- Winnetka
- State
- California
- ZIP Code
- 91306-3006
- Phone
- (747) 202-3638
Authorized Official
- Name
- DR. GEVORK DANIELIAN, PHARM D
- Title
- PRESIDENT/PIC
- Phone
- (747) 202-3638
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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