Organization
ARCHANGEL MICHAEL PHARMACY INC
Active
Other names
Archangel Michael Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GALEY (OWNER/CEO/AO/PIC)
(951) 302-7733
Entity
Organization
Contact information
Practice address
31754 TEMECULA PKWY STE D, TEMECULA, CA 92592-6805
(951) 302-7733
(951) 302-7717
Mailing address
31754 TEMECULA PKWY STE D, TEMECULA, CA 92592-6805
(951) 302-7733
(951) 302-7717
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY54283
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157861
PK
—
Enumeration date
01/19/2016
Last updated
02/20/2017
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