Provider Demographics
NPI:1841738416
Name:AUROMIRA CORPORATION
Entity Type:Organization
Organization Name:AUROMIRA CORPORATION
Other - Org Name:DIMAS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RATILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJYAGURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-489-4000
Mailing Address - Street 1:11510 PRESIDENTIAL RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-8257
Mailing Address - Country:US
Mailing Address - Phone:661-489-4000
Mailing Address - Fax:
Practice Address - Street 1:3805 SAN DIMAS ST
Practice Address - Street 2:SUITE A
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-5724
Practice Address - Country:US
Practice Address - Phone:661-489-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-03
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55497332B00000X, 333600000X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy