Organization
AMIS PHARMACY CORPORATION
Active
Other names
McIntosh Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SON HUYNH RP (PRESIDENT)
(760) 347-3577
Entity
Organization
Contact information
Practice address
82422 MILES AVE, INDIO, CA 92201-4250
(760) 347-3577
(760) 342-4458
Mailing address
82422 MILES AVE, INDIO, CA 92201-4250
(760) 347-3577
(760) 342-4458
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY48360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0507218
NABP
—
05
—
PHA483600
—
CA
Enumeration date
06/16/2005
Last updated
05/08/2008
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