Organization
NTEGROUS CORE CORPORATION
Active
Other names
Anderson Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARVA BRANNUM PHARM.D. (OWNER)
(626) 398-1696
Entity
Organization
Contact information
Practice address
2700 E FOOTHILL BLVD STE 205, PASADENA, CA 91107-7106
(626) 398-1696
(626) 398-9860
Mailing address
2700 E FOOTHILL BLVD STE 205, PASADENA, CA 91107-7106
(626) 398-1696
(626) 398-9860
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
PHY34307
CA
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336230010
—
CA
05
—
PHA343070
—
CA
Enumeration date
09/27/2006
Last updated
08/10/2026
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