Organization
ST CYRIL INC
Active
Other names
MESA VERDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
GENEVIEVE BENJAMIN (CEO)
(714) 576-5875
Entity
Organization
Contact information
Practice address
1525 MESA VERDE DR E STE 101, COSTA MESA, CA 92626-5221
(714) 884-3574
(714) 486-1027
Mailing address
1525 MESA VERDE DR E STE 101, COSTA MESA, CA 92626-5221
(714) 884-3574
(714) 486-1027
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
PHY56036
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177690
PK
—
Enumeration date
05/16/2018
Last updated
09/19/2025
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