Organization
ST MINA INC
Active
Other names
St Mina pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
NADER ABADIER (SECRETARY/PHARMACIST)
(909) 851-0311
Entity
Organization
Contact information
Practice address
8110 MANGO AVE STE 105, FONTANA, CA 92335-3603
(909) 350-3200
(909) 350-3223
Mailing address
7643 CABRILLO WAY, EASTVALE, CA 92880-0923
(909) 350-3200
(909) 350-3223
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
50685
CA
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447534573
—
CA
01
—
2132241
PK
—
Enumeration date
10/07/2011
Last updated
11/29/2016
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