Organization
DINUBA PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMAD FAWZYREZK MORCOS (PRESIDENT)
(559) 355-7835
Entity
Organization
Contact information
Practice address
172 N L ST, DINUBA, CA 93618-2104
(559) 725-4525
(559) 725-4525
Mailing address
172 N L ST, DINUBA, CA 93618-2104
(559) 725-4525
(559) 725-4524
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
52550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073906681
NPI
CA
Enumeration date
11/18/2017
Last updated
11/18/2017
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