Organization
TEPLOW PHARMACY LLC
Active
Other names
TEPLOW DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAHMAJI VALIVETI (PRESIDENT)
(201) 845-0407
Entity
Organization
Contact information
Practice address
404 E MAIN ST, BARSTOW, CA 92311-2326
(760) 256-2726
(760) 256-3199
Mailing address
404 E MAIN ST, BARSTOW, CA 92311-2326
(760) 256-2726
(760) 256-3199
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY46890
CA
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA468900
—
CA
05
—
PHY57968
—
CA
Enumeration date
03/06/2007
Last updated
06/23/2022
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