Organization
LINDEN PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW J. MAGNASCO PHARM D (VICE PRESIDENT)
(209) 887-3397
Entity
Organization
Contact information
Practice address
19047 MAIN ST, LINDEN, CA 95236-9492
(209) 887-3397
(209) 887-2772
Mailing address
PO BOX 679, LINDEN, CA 95236
(209) 887-3397
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHY32300
—
CA
Enumeration date
12/13/2006
Last updated
09/05/2007
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