Organization
MDM PHARMACY SERVICES 2
Active
Other names
New Pharmacy 2
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER MICHAIL (OWNER)
(760) 228-1600
Entity
Organization
Contact information
Practice address
72724 29 PALMS HWY, STE 104, TWENTYNINE PALMS, CA 92277
(760) 367-2000
Mailing address
57725 29 PALMS HWY, STE 209, YUCCA VALLEY, CA 92284
(760) 228-1600
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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