Organization
ROYAL PHARMACY GROUP INC
Active
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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