Organization
EADARA, INC.
Active
Other names
Magnolia Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRASEKHAR EADARA (CEO/CFO/SEC./DIR.)
(361) 813-4639
Entity
Organization
Contact information
Practice address
7130 MAGNOLIA AVE STE C&F, RIVERSIDE, CA 92504-3864
(951) 637-3399
Mailing address
7130 MAGNOLIA AVE STE C&F, RIVERSIDE, CA 92504-3864
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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