Organization
GUADALUPE PHARMACY INC
Active
Other names
SANTA MARIA RX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SOLIMAN RPH (OWNER)
(562) 630-1620
Entity
Organization
Contact information
Practice address
16444 PARAMOUNT BLVD STE 101, PARAMOUNT, CA 90723-5453
(562) 232-3732
(562) 232-3651
Mailing address
16444 PARAMOUNT BLVD STE 101, PARAMOUNT, CA 90723-5453
(562) 232-3732
(562) 232-3651
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57781
BOARD OF PHARMACY PERMIT
CA
Enumeration date
07/31/2020
Last updated
08/21/2023
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