Organization
AFP DRUGSTORE, INC.
Active
Other names
A Family Pharmacy Apple Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS TEKELE (PRESIDENT)
(760) 242-5452
Entity
Organization
Contact information
Practice address
15863 KASOTA RD, SUITE C, APPLE VALLEY, CA 92307-4507
(760) 242-5452
Mailing address
PO BOX 900, VICTORVILLE, CA 92393-0900
(760) 242-5452
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3440839
CA CORP
CA
Enumeration date
04/17/2012
Last updated
04/17/2012
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