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Organization
TRLSM GROUP INC
Active
Organization
TRLSM GROUP INC
Active
Other names
Medallion Prescription Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANH TRAN (AUTHORIZED OFFICAL)
(818) 340-0212
Entity
Organization
Contact information
Practice address
23101 SHERMAN PL, UNIT 101, WEST HILLS, CA 91307-2003
(818) 340-0212
(818) 340-0218
Mailing address
23101 SHERMAN PL, UNIT 101, WEST HILLS, CA 91307-2003
(818) 340-0212
(818) 340-0218
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
PHY48673
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992996243
—
CA
Enumeration date
08/01/2007
Last updated
11/23/2022
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