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Organization
TRIAD COMPOUNDING PHARMACY
Active
Organization
TRIAD COMPOUNDING PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD S. MILLER PHARM.D. (MANAGER)
(562) 468-4311
Entity
Organization
Contact information
Practice address
11090 ARTESIA BLVD, SUITE H, CERRITOS, CA 90703-2545
(562) 468-4311
(562) 468-4314
Mailing address
11090 ARTESIA BLVD, SUITE H, CERRITOS, CA 90703-2545
(562) 468-4311
(562) 468-4314
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29677
CA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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