Organization
ANNEX PHARMACY AND MEDICAL SUPPLY INC
Active
Organization
ANNEX PHARMACY AND MEDICAL SUPPLY INC
Active
Other names
Annex Pharmacy and Medical Supply Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ANENE EZEUKWU (PRESIDENT/PIC)
(818) 882-5010
Entity
Organization
Contact information
Practice address
20177 SATICOY ST, WINNETKA, CA 91306-2506
(818) 882-5010
(818) 882-5015
Mailing address
22708 KESWICK ST, WEST HILLS, CA 91304-5431
(818) 882-5010
(818) 882-5015
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY50342
CA
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083927750
—
CA
01
—
2125874
PK
—
Enumeration date
07/22/2010
Last updated
03/01/2017
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