Organization
M&L BROTHERS PHARMACY INC
Active
Other names
VICTORY DRUG & SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE JONES PHARM (PRESIDENT)
(818) 883-2321
Entity
Organization
Contact information
Practice address
21115 SHERMAN WAY, CANOGA PARK, CA 91303-1679
(818) 883-2321
(818) 883-3835
Mailing address
21115 SHERMAN WAY, CANOGA PARK, CA 91303-1679
(818) 883-2321
(818) 883-3835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY30160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1998146
PK
—
05
—
PHA301600
—
CA
Enumeration date
10/20/2006
Last updated
08/02/2016
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