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Organization
FAST PHARMACY INC.
Active
Organization
FAST PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN VINCENT FLORES D.C. (PRESIDENT/CEO)
(951) 698-9229
Entity
Organization
Contact information
Practice address
1820 FULLERTON AVE, SUITE 145, CORONA, CA 92881-3160
(877) 327-8009
(877) 327-8221
Mailing address
PO BOX 1790, TEMECULA, CA 92593-1790
(951) 698-9229
(951) 698-9229
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
APPLYING FOR
CA
3336L0003X
Long Term Care Pharmacy
Primary
APPLYING FOR
CA
3336M0002X
Mail Order Pharmacy
APPLYING FOR
CA
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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