Organization
MEDISHACK, INC.
Active
Other names
MediShack Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M SHAKER (PRESIDENT/CEO)
(323) 206-0971
Entity
Organization
Contact information
Practice address
1901 SUNNY CREST DR, FULLERTON, CA 92835-3626
(323) 206-0971
Mailing address
1901 SUNNY CREST DR, FULLERTON, CA 92835-3626
(323) 206-0971
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
01/11/2022
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