Organization
NIMBLE PHARMACY INC
Active
Other names
Nimble Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TALHA WAQAR (OWNER)
(866) 966-4625
Entity
Organization
Contact information
Practice address
801 NATIONAL CITY BLVD STE B, NATIONAL CITY, CA 91950-3200
(866) 966-4625
(650) 889-4199
Mailing address
1134 CRANE ST, MENLO PARK, CA 94025-4359
(866) 966-4625
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174994560
—
CA
01
—
2154597
PK
—
Enumeration date
10/12/2015
Last updated
12/18/2016
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