Organization
SANTA TERESA PHARMACY II LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJ RAKESH SHAH (CEO)
(626) 589-1646
Entity
Organization
Contact information
Practice address
1896 E BABBIT LN, SAN LUIS, AZ 85336-7820
(928) 328-1000
(928) 328-1001
Mailing address
PO BOX 7649, SAN LUIS, AZ 85349-6815
(928) 328-1000
(928) 328-1001
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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