Organization
AMER RX INC
Active
Other names
Agewell Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AMRO AMER (OWNER)
(805) 733-2060
Entity
Organization
Contact information
Practice address
191 BURTON MESA BLVD, SUITE A, LOMPOC, CA 93436-1400
(805) 733-2060
(805) 733-2061
Mailing address
191 BURTON MESA BLVD, SUITE A, LOMPOC, CA 93436-1400
(805) 733-2060
(805) 733-2061
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PH22628
FL
3336C0004X
Compounding Pharmacy
029968
NY
3336C0004X
Compounding Pharmacy
Primary
49116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118100
PK
—
Enumeration date
12/11/2008
Last updated
04/06/2016
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