Organization
AMIS PHARMACY CORPORATION
Active
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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