# NICOLE AND ANDRE PHARMACEUTICAL INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Imperial Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194919464
- **Authorized official:** DR. ODETTE P. KHALIL PHARM.D. (OWNER/PHARMACIST)
- **Authorized official phone:** (562) 789-5852

## Contact information

- **Practice address:** 510 W MAIN ST STE 111, EL CENTRO, CA 92243-2900
- **Practice address phone:** (562) 789-5852
- **Practice address fax:** (562) 789-5854
- **Mailing address:** 9209 COLIMA RD STE 1100, WHITTIER, CA 90605-1863
- **Mailing address phone:** (562) 789-5852
- **Mailing address fax:** (562) 789-5854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2007
- **Last updated:** 07/08/2008