Organization
MARVEL PHARMACY INC
Active
Other names
Marvel Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIYA GABRIYELOVA (OWNER)
(818) 806-0205
Entity
Organization
Contact information
Practice address
15246 SATICOY ST, VAN NUYS, CA 91405-1623
(818) 806-0205
Mailing address
15246 SATICOY ST, VAN NUYS, CA 91405-1623
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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