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Organization
YOUR DRUG STORE
Active
Organization
YOUR DRUG STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HUYNH (PHARMACIST)
(760) 949-9310
Entity
Organization
Contact information
Practice address
17079 MAIN ST, HESPERIA, CA 92345-6071
(760) 949-9310
(760) 949-9622
Mailing address
17079 MAIN ST, HESPERIA, CA 92345-6071
(760) 949-9310
(760) 949-9622
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY46836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336232768
—
CA
Enumeration date
05/30/2012
Last updated
05/30/2012
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