Organization
ARIYAN CORPORATION
Active
Other names
Morro Bay Drug and Gift
Organization subpart
No
Provider details
NPI number
Authorized official
SUMANTA BARAN PAUL (PRESIDENT)
(805) 771-9988
Entity
Organization
Contact information
Practice address
600 MORRO BAY BLVD STE B, MORRO BAY, CA 93442-1965
(805) 771-9988
(805) 771-9960
Mailing address
600 MORRO BAY BLVD, SUITE B, MORRO BAY, CA 93442-1935
(805) 771-9988
(805) 771-9960
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295053031
—
CA
01
—
2124902
PK
—
Enumeration date
05/04/2010
Last updated
10/09/2019
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