Organization
M A JIMENEZ INC
Active
Other names
Knoll's Prescription Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO A. JIMENEZ PHARM D. (PHARMACIST/OWNER)
(626) 337-1550
Entity
Organization
Contact information
Practice address
14300 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 337-1550
(626) 337-0660
Mailing address
14300 RAMONA BLVD, BALDWIN PARK, CA 91706-3241
(626) 337-1550
(626) 337-0660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PHY35802
CA
Other
Enumeration date
01/03/2008
Last updated
09/20/2011
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