Organization
MULBERRY PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYLOR JENSEN (OWNER)
(562) 358-4009
Entity
Organization
Contact information
Practice address
15025 MULBERRY DR, WHITTIER, CA 90604-1528
(562) 358-4009
Mailing address
15025 MULBERRY DR, WHITTIER, CA 90604-1528
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PHY57330
CALIFORNIA LICENSE
CA
Enumeration date
12/06/2019
Last updated
03/31/2021
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