Organization
M E C PHARMACY SERVICES INC
Active
Organization
M E C PHARMACY SERVICES INC
Active
Other names
American Surgical Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CLARK (CEO)
(909) 882-3353
Entity
Organization
Contact information
Practice address
103 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3603
(909) 882-3353
(909) 882-7849
Mailing address
PO BOX 2871, SAN BERNARDINO, CA 92406-2871
(909) 882-3353
(909) 882-7849
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY53469
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151944
PK
—
05
—
PHA406810
—
CA
Enumeration date
10/12/2006
Last updated
11/07/2016
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