Organization
DELAGO PHARAMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARLENA A LUNING R. PH (PHARAMCIST IN CHARGE)
(909) 730-2758
Entity
Organization
Contact information
Practice address
31739 RIVERSIDE DR, SUITE J, LAKE ELSINORE, CA 92530-7818
(909) 730-2758
Mailing address
31739 RIVERSIDE DR, SUITE J, LAKE ELSINORE, CA 92530-7818
(909) 730-2758
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
60361
CA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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