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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