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Organization

ROYAL PHARMACY GROUP INC

Active
Other names
ROYAL PHARMACY GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIEL JOSEPH PAGE PH.D. (OWNER /PRESIDENT /PIC)
(619) 282-1338
Entity
Organization

Contact information

Practice address
5115 GARFIELD ST, LA MESA, CA 91941-5122
(619) 282-1338
(619) 282-1227
Mailing address
5115 GARFIELD ST, LA MESA, CA 91941-5122
(619) 282-1338
(619) 282-1227

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0508020
NCPDP PROVIDER IDENTIFICATION NUMBER
01
1295804144
MEDI-CAL PROVIDER NUMBER
CA
01
PHY57165
CALIFORNIA STATE BOARD OF PHARMACY RETAIL PERMIT
CA
Enumeration date
11/07/2006
Last updated
02/27/2024
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