Organization
MD PHARMACY LLC
Active
Organization
MD PHARMACY LLC
Active
Other names
MD Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BOESEN (CEO)
(602) 616-8831
Entity
Organization
Contact information
Practice address
1601 MONTE VISTA AVE, SUITE 130, CLAREMONT, CA 91711-2962
(909) 949-6337
(909) 949-6331
Mailing address
17250 N. HARTFORD DR., SUITE 115, SCOTTSDALE, AZ 85255
(844) 436-7928
(909) 949-6331
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
50519
CA
3336C0003X
Community/Retail Pharmacy
Primary
55276
CA
Other
Enumeration date
02/16/2011
Last updated
12/14/2016
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