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Organization
DR GRAM PHARMACY INC
Active
Organization
DR GRAM PHARMACY INC
Active
Other names
Med-Rx LTC
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD GRAMLICH (CEO)
(760) 741-9804
Entity
Organization
Contact information
Practice address
911 E VALLEY PKWY, ESCONDIDO, CA 92025-3428
(760) 480-1871
(760) 480-6317
Mailing address
911 E VALLEY PKWY, ESCONDIDO, CA 92025-3428
(760) 480-1871
(760) 480-6317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
51095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5646154
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/26/2012
Last updated
12/26/2012
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