# MEDRX PHARMA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North D LTC Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790517878
- **Authorized official:** PHOEBE RUTH MARTIN (OWNER)
- **Authorized official phone:** (909) 515-0551

## Contact information

- **Practice address:** 1556 N D ST STE B, SAN BERNARDINO, CA 92405-4710
- **Practice address phone:** (909) 515-0551
- **Practice address fax:** (909) 515-0552
- **Mailing address:** 1556 N D ST STE B, SAN BERNARDINO, CA 92405-4710
- **Mailing address phone:** (909) 515-0551
- **Mailing address fax:** (909) 515-0552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 08/16/2024
- **Last updated:** 08/19/2024