Organization
AGIA PHARMACY & CAFE INC
Active
Other names
Agia Pharmacy & Cafe
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRA MICHAEL RPH (OWNER, PIC, AO)
(661) 912-2607
Entity
Organization
Contact information
Practice address
276 S MILL ST STE A, TEHACHAPI, CA 93561-1628
(661) 823-4111
(661) 823-4734
Mailing address
10900 HARTLAND ST, BAKERSFIELD, CA 93312-7004
(661) 912-2607
(661) 589-7916
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
53811
CA
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2155141
PK
—
Enumeration date
11/05/2015
Last updated
08/17/2016
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