Organization
MAXI-MED PHARMACY, INC
Active
Other names
Prime Health Pharma
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOLF SCHRAMM (OFFICER)
(818) 350-3998
Entity
Organization
Contact information
Practice address
11177 TAMPA AVE STE B, PORTER RANCH, CA 91326-2254
(818) 350-3998
Mailing address
11177 TAMPA AVE STE B, PORTER RANCH, CA 91326-2254
(818) 350-3998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
11/01/2023
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