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Organization

FAIRVEOLA BANKS

Active
Other names
Intra Rx Drugs Lynwood
Organization subpart
No

Provider details

NPI number
Authorized official
FAIRVEOLA BANKS (OWNER)
(310) 637-2006
Entity
Organization

Contact information

Practice address
3628 E IMPERIAL HWY STE 102, LYNWOOD, CA 90262-2600
(310) 637-2006
(310) 637-2522
Mailing address
3628 E IMPERIAL HWY STE 102, LYNWOOD, CA 90262-2600
(310) 637-2006
(310) 637-2522

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
11/12/2024
Last updated
11/12/2024
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