Organization
PORTERVILLE EXPRESS SPECIALTY PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANAS BAYTAMOUNY (CMO)
(559) 364-3033
Entity
Organization
Contact information
Practice address
301 E OLIVE AVE, PORTERVILLE, CA 93257-4871
(559) 364-3033
Mailing address
301 E OLIVE AVE, PORTERVILLE, CA 93257-4871
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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