Organization
3E PHARMACY INC
Active
Other names
The Medicine Shoppe
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA TADROS (CEO)
(951) 977-8667
Entity
Organization
Contact information
Practice address
9194 MAGNOLIA AVE, RIVERSIDE, CA 92503-3872
(951) 977-8667
(951) 977-8617
Mailing address
9194 MAGNOLIA AVE, RIVERSIDE, CA 92503-3872
(951) 977-8667
(951) 977-8617
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY56110
CA
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235628058
—
CA
01
—
2177804
PK
—
Enumeration date
05/07/2018
Last updated
09/19/2025
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