Organization
INTERNATIONAL PHARMACIES INC
Active
Other names
BOTICA SAN MARTIN
Organization subpart
No
Provider details
NPI number
Authorized official
NEGDA IVONNE DE LA ROSA (VICE PRESIDENT)
(562) 801-0067
Entity
Organization
Contact information
Practice address
9301 TELEGRAPH RD, PICO RIVERA, CA 90660-5424
(562) 801-0067
(562) 801-1251
Mailing address
9301 TELEGRAPH RD, PICO RIVERA, CA 90660-5424
(562) 801-0067
(562) 801-1251
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY40996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1988388
PK
—
05
—
PHA409960
—
CA
Enumeration date
08/31/2006
Last updated
09/10/2014
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