# MARI-MINA PHARMACEUTICALS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Del's Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013934876
- **Authorized official:** SAMEH ROKES RPH (PRESIDENT)
- **Authorized official phone:** (909) 465-9282

## Contact information

- **Practice address:** 10700 JERSEY BLVD, 330-340, RANCHO CUCAMONGA, CA 91730-5116
- **Practice address phone:** (909) 948-0206
- **Practice address fax:** (909) 948-0075
- **Mailing address:** 10700 JERSEY BLVD, 330-340, RANCHO CUCAMONGA, CA 91730-5116
- **Mailing address phone:** (909) 948-0206
- **Mailing address fax:** (909) 948-0075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | PHY49807 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 04/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1013934876 | — | CA |
| 01 | — | 2000992 | PK | — |