Organization
MEKAGREEN INC
Active
Other names
mekagreen Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDE EMEKA IKEGBU PHARM D (PHARMACIST)
(323) 643-4240
Entity
Organization
Contact information
Practice address
1373 W 29TH ST, SUITE A, LOS ANGELES, CA 90007-3195
(323) 643-4240
(323) 643-4209
Mailing address
1373 W 29TH ST, SUITE A, LOS ANGELES, CA 90007-3195
(323) 643-4240
(323) 643-4209
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
51964
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215335443
—
CA
Enumeration date
12/22/2014
Last updated
04/27/2022
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