Organization
PALMDALE MEDICAL PHARMACY INC
Active
Other names
PALMDALE MEDICAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
POOJAN VACHHANI (CEO/CFO/SEC./DIR.)
(661) 267-2638
Entity
Organization
Contact information
Practice address
540 W. PALMDALE BLVD., #A, PALMDALE, CA 93551-4232
(661) 267-2638
(661) 267-0813
Mailing address
540 W. PALMDALE BLVD., #A, PALMDALE, CA 93551-4232
(661) 267-2638
(661) 267-0813
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA466440
—
CA
Enumeration date
06/16/2005
Last updated
12/03/2024
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